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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHPARK FUNCTIONAL MEDICINE PLLC

Active Organization

SOUTHPARK FUNCTIONAL MEDICINE PLLC is a Internal Medicine organization located in CHARLOTTE, North Carolina. NPI 1275223638 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHARLOTTE, NC

Registration Details

NPI Number
1275223638
Provider Type
Organization
NPI Issued
May 10, 2023 (3.2910832536436 yrs)
Last Updated
Aug 2, 2023

Practice Information

Address
5950 FAIRVIEW RD STE 406
CHARLOTTE, NC, 282103113
Browse NC providers · Browse ZIP 28210
Phone
7045603316
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.