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

Integrative Immunology Care PLLC

Organization Dermatology Physician · NPI 1063239044

Integrative Immunology Care PLLC is a Dermatology Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
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

8810 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6596
Phone: (704) 910-1402
Fax: (704) 910-1506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1063239044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maeve Oconnor — Owner · (704) 910-1402
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address8810 Blakeney Professional Dr Ste 100, Charlotte, NC 28277-6596

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