Aspire To Excellence

Specialty details in registry · Charlotte, NC

Call (704) 905-5577 Directions

At a glance

11808 Provincetowne Dr, Charlotte, NC 28277-9165

NPPES record updated Jun 9, 2010. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

11808 Provincetowne Dr
Charlotte, NC 28277-9165
Professional details: NPI, taxonomy & registry record
NPI1154641488
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
Jun 9, 2010
Record updated
Jun 9, 2010
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

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

Practice location

11808 Provincetowne Dr
Charlotte, NC 28277-9165
Phone
(704) 905-5577
Mailing address
11808 PROVINCETOWNE DR

CHARLOTTE, NC 282779165
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Information may be outdated or incomplete.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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