DYNAMIC HEALTH MEDICAL GROUP PLLC


Address: 4705 South Blvd, Charlotte, NC 28217
Phone: 7045256288

DYNAMIC HEALTH MEDICAL GROUP PLLC (NPI# 1972085918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972085918
Entity Type Organization
Organization Name DYNAMIC HEALTH MEDICAL GROUP PLLC
Practice Address 4705 South Blvd
Charlotte
NC 28217
Practice Telephone 7045256288
Practice Fax Number 7045256384
Mailing Telephone 7045256288
Mailing Fax Number 7045256384
Enumeration Date 2018-09-06
Last Update Date 2018-09-06
Authorized Official Name DIXIE WINSLOW (EXECUTIVE ASSISTANT)
Authorized Official Telephone 7045256288
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208VP0000X Pain Medicine
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 4705 SOUTH BLVD
City CHARLOTTE
State NC
Zip Code 28217

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922668896 Alisa Walker Nurse Practitioner 4705 South Blvd, Charlotte, NC 28217-2771 2019-06-13
1609334408 Nakia Pinkney Chiropractor 4705 South Blvd, Charlotte, NC 28217-2771 2019-03-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962017798 Kelby Rae Hurlocker Specialist/Technologist 500 Center Park Dr, Charlotte, NC 28217 2020-09-09
1356967749 Optum Pharmacy 701, LLC Pharmacy 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 2020-06-22
1598302937 Brigit Boyce Occupational Therapist 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 2019-12-04
1275016933 Zarah Pulfrey Physician Assistant Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 2018-09-10
1184102048 Charday Caple Counselor 735 Echodale Dr, Charlotte, NC 28217 2018-08-02
1326532250 Dupont Livery LLC Non-emergency Medical Transport (VAN) 4200 S Tryon St, Charlotte, NC 28217 2018-06-14
1891215232 Lakesha Shamise Welch Counselor 5709 South Hampton R., Charlotte, NC 28217 2017-06-27
1245768282 Allison Harris Lafone Counselor 515 Clanton Road, Charlotte, NC 28217 2017-06-02
1619416906 Charlie Randolph Taylor Jr. Counselor 517 Clanton Road, Charlotte, NC 28217 2017-02-20
1316483472 Health Saver Rx, LLC Pharmacy 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 2017-01-13
Find all providers in zip 28217

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679184055 Healthworks Med Group of North Carolina P C General Practice 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 2020-08-11
1053953125 Emergent Life Integrative Medicine Center, Inc General Practice 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 2019-10-10
1780189902 Izadora Izidoro Diehl General Practice 5128 Silabert Ave, Charlotte, NC 28205-7863 2018-03-28
1851799696 Hak Jin Kim General Practice 2095 Brunswick Place, Charlotte, MI 48813-9751 2014-12-10
1992055941 Healthworks Med Group of North Carolina P C General Practice 2605 Water Ridge Pkwy, Suite 100, Charlotte, NC 28217-4565 2012-09-18
1811296494 Rene Chike Anikwue General Practice 5109 Monroe Rd Ste E, Charlotte, NC 28205-7878 2011-03-21
1235433723 David Joseph Pasek General Practice 9216 Forest Manor Ct, Charlotte, NC 28215-9705 2010-12-27
1053625574 Chs North Carolina Medical, P.C. General Practice 7201 Hewitt Associates Dr, Ste 500, Charlotte, NC 28262-4001 2010-07-27
1255587903 Stuart Lee Schnider General Practice 3220 Latrobe Dr, Charlotte, NC 28211-4845 2008-08-13
1235184813 Health-pro Mental Health Services Pllc General Practice 6700 Fairview Rd, Suite 420, Charlotte, NC 28210-3324 2006-05-23
Find all providers in CHARLOTTE

Competitor

Search similar providers

City CHARLOTTE
Zip Code 28217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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