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 1912008327

Central Carolina Medical Clinic, PA is a Family Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
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

6404 Albemarle Rd Ste J&k
Charlotte, NC 28212-3800
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

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

Record details

NPI number1912008327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tuong Nguyen — Physician · (704) 532-8884
NPI enumeratedSeptember 26, 2006
Last updated in NPPESFebruary 26, 2014
Mailing address6404 Albemarle Rd, Suite J&K, Charlotte, NC 28212-3800

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