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

Centrum Medical Group of North Carolina PLLC

Organization General Practice Physician · NPI 1063154375

Centrum Medical Group of North Carolina PLLC is a General Practice Physician in Charlotte, North Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10320 Mallard Creek Rd Ste 180
Charlotte, NC 28262-5204
Phone: (305) 266-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1063154375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Graciela Victorero — Coo · (305) 266-2929
NPI enumeratedApril 8, 2022
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022
Mailing address9250 Nw 36th St Ste 420, Doral, FL 33178-2775

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