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

South Charlotte General and Vascular Surgery PLLC

Organization Surgery Physician · NPI 1144524190

South Charlotte General and Vascular Surgery PLLC is a Surgery Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

13430 Hoover Creek Blvd Ste 200
Charlotte, NC 28273-0054
Phone: (704) 910-8380
Fax: (704) 710-8045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2009-00158 (NC)

Record details

NPI number1144524190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Antezana — General And Vascular Surgeon · (803) 412-5126
NPI enumeratedJanuary 5, 2011
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address13430 Hoover Creek Blvd Ste 200, Charlotte, NC 28273-0054

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