Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Carolina Medical Clinic, PA

Organization Family Medicine Physician · NPI 1407271109

Central Carolina Medical Clinic, PA is a Family Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 Little Rock Rd
Charlotte, NC 28214
Phone: (704) 532-8884
Fax: (704) 532-8789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2008-00070 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2000-00566 (NC)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1407271109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tuong Nguyen — Owner/Physician · (704) 532-8884
Other names Central Carolina Medical Clinic, Pa - Paw Creek Center
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address6404 Albemarle Road, Suite J & K, Charlotte, NC 28214

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