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

Southern Mobile Medical Group PA

Organization General Practice Physician · NPI 1730903675

Southern Mobile Medical Group PA is a General Practice Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5804 Monroe Rd Ste C
Charlotte, NC 28212-6183
Phone: (385) 499-5535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1730903675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zachary Mandler — Director Of Contracting · (305) 890-7738
NPI enumeratedNovember 7, 2024
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing addressPo Box 3044, Houston, TX 77253-3044

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