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

Mecklenburg Medical Group

Organization Dermatology Physician · NPI 1255364535

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

In the registry since
2006
Specialties on file
9
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Practice location Address checks out

7903 Providence Rd Ste 100
Charlotte, NC 28277-9720
Phone: (704) 367-8610
Fax: (704) 367-6798
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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
Hematology & Oncology Physician Taxonomy 207RH0003X
Infectious Disease Physician Taxonomy 207RI0200X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X

Record details

NPI number1255364535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Wiens — Senior Vice President · (704) 355-0648
NPI enumeratedJuly 9, 2006
Last updated in NPPESMarch 6, 2013
Mailing addressPo Box 601643, Charlotte, NC 28260-1643

Other providers in Charlotte