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

Deark Medical Center PLLC

Organization Internal Medicine Physician · NPI 1376046003

Deark Medical Center PLLC is an Internal Medicine Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
5
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

3719 Latrobe Dr Ste 840
Charlotte, NC 28211-5121
Phone: (913) 302-1470
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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 2016-01529 (NC)
Community Health Clinic/Center Taxonomy 261QC1500X
Migrant Health Clinic/Center Taxonomy 261QM1000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1376046003
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Efemwonkiekie Iyamu — President/Ceo · (913) 302-1470
NPI enumeratedMarch 8, 2018
Last updated in NPPESFebruary 6, 2019
Mailing address3719 Latrobe Dr Ste 840, Charlotte, NC 28211-5121

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