Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAYTON GREGORY FENNELL, D.O
Active Sole ProprietorSports Medicine · CHARLOTTE, NC
Registration Details
- NPI Number
- 1306906086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.362863682355 yrs)
- Last Updated
- Jun 14, 2021
- Licenses
-
200601317 (NC)200601317 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4741 RANDOLPH RDCHARLOTTE, NC, 282112919Browse NC providers · Browse ZIP 28211
- Phone
- 7043656730
- Fax
- 7043656731
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. AARON GREGORY ELLISON | MD | 1730154659 |
| DAVID EVAN PRICE | MD | 1912937665 |
| MR. CHRISTOPHER CLAUDE FELTON | D.O. | 1730222332 |
| ERIC THOMAS WARREN | MD | 1831220292 |
| CATHERINE R. RAINBOW | MD | 1598970840 |
| AUGUSTUS GARLAND PARKER IV | M.D. | 1285868117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.