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CENTRUM MEDICAL GROUP OF NORTH CAROLINA PLLC
NPI 1063154375
General Practice in Charlotte, NC

Active since April 08, 2022
10320 MALLARD CREEK RD STE 180, CHARLOTTE, NC 28262(305) 266-2929 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centrum Medical Group Of North Carolina Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRUM MEDICAL GROUP OF NORTH CAROLINA PLLC (NPI 1063154375) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since April 2022. The organization lists Graciela Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1063154375
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP OF NORTH CAROLINA PLLC
Location Address10320 MALLARD CREEK RD STE 180Charlotte, NC 28262-5204
Mailing Address9250 Nw 36th St Ste 420Doral, FL 33178-2775 · (305) 266-2929
Phone(305) 266-2929
Organization SubpartNo
Authorized OfficialGraciela VictoreroCoo · (305) 266-2929
Enumeration DateApril 8, 2022
NPPES CertifiedApril 8, 2022
✔ NPI 1063154375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10320 MALLARD CREEK RD STE 180, Charlotte, NC 28262
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centrum Medical Group Of North Carolina PLLC's NPI number?

The NPI number for Centrum Medical Group Of North Carolina PLLC is 1063154375. It was assigned to this organization in the NPPES registry on April 8, 2022.

Where is Centrum Medical Group Of North Carolina PLLC located?

Centrum Medical Group Of North Carolina PLLC is located at 10320 Mallard Creek Rd Ste 180, Charlotte, NC 28262. The listed phone number is (305) 266-2929.

What is Centrum Medical Group Of North Carolina PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Centrum Medical Group Of North Carolina PLLC was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.