National Provider Identifier Database

DYNAMIC HEALTH MEDICAL GROUP PLLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

DYNAMIC HEALTH MEDICAL GROUP PLLC
4705 SOUTH BLVD
CHARLOTTE, NC28217
Phone: 704-525-6288
Fax: 704-525-6384
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for DYNAMIC HEALTH MEDICAL GROUP PLLC

NPI Number 1972085918
Legal business name
LBN
DYNAMIC HEALTH MEDICAL GROUP PLLC
Authorized official DIXIE WINSLOW - (EXECUTIVE ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 09/06/2018
Last updated 09/06/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 0 NONE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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