Passionately Principled

Specialty details in registry · Charlotte, NC

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At a glance

2550 W Arrowood Rd, Charlotte, NC 28273-6651

NPPES record updated Aug 4, 2011. Public records can lag behind changes at a practice.

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Practice location

2550 W Arrowood Rd Suite 104
Charlotte, NC 28273-6651

Professional details: NPI, taxonomy & registry record

NPI1154600476

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QH0100X
Enumeration date: Aug 4, 2011
Record updated: Aug 4, 2011

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QH0100X · Primary

License reported: 4152 NC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2550 W Arrowood Rd
Suite 104
Charlotte, NC 28273-6651

Phone: (770) 712-5719

Mailing address

12324 HAYMARKET RD

CHARLOTTE, NC 282149209

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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