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

Mema SC LLC

Organization Emergency Medicine Physician · NPI 1407675176

Mema SC LLC is an Emergency Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Phone: (704) 377-2424
Fax: (704) 377-2687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1407675176
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Icenhour — Chief Operating Officer · (704) 319-5822
NPI enumeratedOctober 9, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 8, 2024
Mailing address501 S Sharon Amity Rd, Ste 300, Charlotte, NC 28211-0035

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