Southpark Functional Medicine PLLC
Southpark Functional Medicine PLLC is an Internal Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5950 Fairview Rd Ste 406Charlotte, NC 28210-3113
Phone: (704) 560-3316
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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 number | 1275223638 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sarita Mahtani — Physician · (704) 560-3316 |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | August 2, 2023 |
| Certification date | August 2, 2023 |
| Mailing address | 5950 Fairview Rd Ste 406, Charlotte, NC 28210-3113 |
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