| Dynamic Health Medical Group Pllc | |
|
4705 South Blvd Charlotte NC 28217 | |
| (704) 525-6288 | |
| (704) 525-6384 |
| Full Name | Dynamic Health Medical Group Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4705 South Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Dixie Winslow (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7045256288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Health Medical Group Pllc 4705 South Blvd Charlotte NC 28217 Ph: (704) 525-6288 | Dynamic Health Medical Group Pllc 4705 South Blvd Charlotte NC 28217 Ph: (704) 525-6288 |
| NPI Number | 1972085918 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972085918 | NPI | - | NPPES |
| 0 | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Secondary |
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