NPI 1073562757
Mid-Atlantic Emergency Medical Associates, PLLC
Practice location
- Address
- 501 S Sharon Amity Rd STE 300, Charlotte, NC 28211
- Phone
- (704) 377-2424
- Fax
- (704) 377-2687
- Mailing address
- 501 S Sharon Amity Rd STE 300, Charlotte, NC 28211-0035
Authorised official
- Name
- Michael Wayne Icenhour
- Title
- Chief Operating Officer
- Phone
- (704) 319-5822
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1073562757
- Entity type
- Organization
- NPI issued
- 9 May 2006
- Record last updated
- 3 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.