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

Promed Nc 10917 PLLC

Organization Internal Medicine Physician · NPI 1710720214

Promed Nc 10917 PLLC is an Internal Medicine 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

10917 Black Dog Ln Ste 104
Charlotte, NC 28214-1486
Phone: (704) 231-9331
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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

Record details

NPI number1710720214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — Member · (704) 231-9331
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address4 Legends Cir, Melville, NY 11747-5302

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