NPI 1407675176

Mema Sc LLC

Organisation Emergency Medicine Physician Charlotte, NC

Practice location

Address: 501 S Sharon Amity Rd STE 300, Charlotte, NC 28211-0035
Phone: (704) 377-2424
Fax: (704) 377-2687

Authorised official

Name: Michael Wayne Icenhour
Title: Chief Operating Officer
Phone: (704) 319-5822

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in North Carolina →

Registry record

NPI: 1407675176
Entity type: Organization
NPI issued: 9 Oct 2024
Record last updated: 9 Oct 2024

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.