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MALLARD CREEK FAMILY PRACTICE
NPI 1518174820
Family Medicine in Charlotte, NC

Active since May 17, 2007
10320 MALLARD CREEK RD, SUITE 100, CHARLOTTE, NC 28262(704) 547-9500(704) 547-9515 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallard Creek Family Practice NPPES

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

MALLARD CREEK FAMILY PRACTICE (NPI 1518174820) is a healthcare organization registered as a family medicine in Charlotte, North Carolina and active in the NPI registry since May 2007. The organization lists William George Katibah, Owner, as its authorized official.

NPPES Registry Identity

NPI1518174820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLIAM GEORGE KATIBAH III
Location Address10320 MALLARD CREEK RD, SUITE 100Charlotte, NC 28262-9756
Mailing Address10320 Mallard Creek Rd, Suite 100Charlotte, NC 28262-5204 · (704) 547-9500 · Fax (704) 547-9515
Phone(704) 547-9500
Fax(704) 547-9515
Organization SubpartNo
Authorized OfficialWilliam George KatibahOwner · (704) 547-9500
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1518174820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10320 MALLARD CREEK RD, Charlotte, NC 28262
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Other Names 1

Doing Business AsMallard Creek Family Practice

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS DEMITA G PAYNE PT
Physical Therapist
10320 MALLARD CREEK RD, SUITE 275
CHARLOTTE, NC 28262
Mecklenburg County (704) 549-9322
DR. DAVID SCOTT MOSS M.D.
Internal Medicine
10320 MALLARD CREEK RD, STE 271
CHARLOTTE, NC 28262
Mecklenburg County (704) 503-6321
DR. ROBERT HOLT FOUSHEE D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10320 MALLARD CREEK RD, SUITE 140
CHARLOTTE, NC 28262
Mecklenburg County (704) 593-1900
DR. GINA RENEE DAVIS D.D.S.
Dentist (General Practice)
10320 MALLARD CREEK RD, SUITE 160
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-8734
DAVID H. MOORE DDS, MS, PA
Dentist (Pediatric Dentistry)
10320 MALLARD CREEK RD, SUITE 150
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-8438
S.J.BURROW,III.D.D.S.,M.S.,P.L.L.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
10320 MALLARD CREEK RD, SUITE 150
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-8438
STACY MARIE SANNEM PT
Physical Therapist
10320 MALLARD CREEK RD, STE 275
CHARLOTTE, NC 28262
Mecklenburg County (704) 717-3000
NOVANT MEDICAL GROUP, INC.
Internal Medicine
10320 MALLARD CREEK RD, SUITE 120
CHARLOTTE, NC 28262
Mecklenburg County (704) 384-0570

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 William George Katibah III's NPI number?

The NPI number for William George Katibah III is 1518174820. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Mallard Creek Family Practice.

Where is William George Katibah III located?

William George Katibah III is located at 10320 Mallard Creek Rd Suite 100, Charlotte, NC 28262. The listed phone number is (704) 547-9500.

What is William George Katibah III's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for William George Katibah III was last updated on February 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.