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

Charlotte Medical Clinic

Organization Dermatology Physician · NPI 1083649214

Charlotte Medical Clinic is a Dermatology Physician in Charlotte, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
8
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Practice location Address checks out

1001 Blythe Blvd Mcp Ste 500
Charlotte, NC 28203-5874
Phone: (704) 355-5100
Fax: (704) 355-5180
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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
Dermatology Physician Taxonomy 207N00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1083649214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wiens — Senior Vice President · (704) 355-0648
NPI enumeratedJuly 12, 2006
Last updated in NPPESSeptember 9, 2008
Mailing addressPo Box 601643, Charlotte, NC 28260-1643

Other providers in Charlotte