Individual provider · Type 1 NPI

Mallory Thompson, PA-C

Surgical Physician Assistant · Charlotte, NC

NPI number 1932881463 Active

Practice location

225 Baldwin Ave
Charlotte, NC 28204-3109

Fax (704) 335-8448

Other practice locations

  • 811 Cox Rd, Gastonia, NC 28054-3453 · (704) 272-3578

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1932881463

Mallory Thompson, PA-C's National Provider Identifier is 1932881463, issued on Aug 3, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlotte, NC. The record was last updated on Aug 15, 2025.