Active NPI 1013991579 Individual Practitioner Male Practitioner

Dr. Lance E. Diehl , MD

Surgery • Monroe, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lance Diehl, MD is a certified Surgery practicing in Monroe, NC. With approximately 31 years of clinical experience since graduating from Temple University School Of Medicine in 1995, Dr. Diehl delivers high-quality medical care to the local community at 1550 FAULK ST.

Dr. Diehl is affiliated with Carolinas Physicians Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound study of arm and leg arteries, ultrasound of both sides of head and neck blood flow, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1550 Faulk St
Ste 3100

Monroe, NC 281125086

Telephone 7046673410

Associated Practice Facility / Clinic

🏢 Union Neurology Clinic, Pllc Facility NPI 1932334455

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Monroe, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +1.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Monroe, NC (1222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Diehl (31 Years) 31 Yrs

Monroe Specialty Average (29.6 Years) 29.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	130	114	$374.18	$62.94
93880 Ultrasound of both sides of head and neck blood flow	116	114	$711.72	$175.35
99213 Established patient office or other outpatient visit, typically 15 minutes	110	104	$225.00	$87.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	95	$317.00	$122.39
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	59	55	$677.00	$162.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$415.46	$157.15
93925 Ultrasound of leg arteries or artery grafts	49	48	$806.43	$218.10
93926 Ultrasound of one leg arteries or artery grafts	35	31	$536.46	$117.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$546.00	$213.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	27	$446.00	$173.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$311.00	$107.33
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	19	$175.00	$11.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	16	16	$628.81	$167.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$414.00	$111.25
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	15	14	$3509.00	$82.56
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	12	$291.00	$78.39
75625 Radiological supervision and interpretation X-ray of abdominal aorta	13	13	$238.00	$64.08
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$1105.00	$250.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	132	$310.00	$123.21
93880 Ultrasound of both sides of head and neck blood flow	119	108	$697.00	$179.25
93922 Ultrasound study of arm and leg arteries	118	106	$374.00	$63.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$404.00	$158.88
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	57	56	$663.00	$166.70
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$535.00	$206.62
93925 Ultrasound of leg arteries or artery grafts	50	48	$818.00	$225.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	39	$437.00	$172.87
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$220.00	$86.98
76937 Ultrasonic guidance for blood vessel access	27	24	$61.00	$13.73
93926 Ultrasound of one leg arteries or artery grafts	25	23	$538.00	$119.16
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	25	23	$171.00	$12.01
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	19	$285.00	$79.46
75625 Radiological supervision and interpretation X-ray of abdominal aorta	22	21	$233.00	$63.25
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	20	$405.00	$106.84
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	20	$649.00	$177.15
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	17	16	$3440.00	$84.13
93990 Ultrasound of dialysis access	14	12	$583.00	$116.62
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	13	13	$5379.00	$200.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$304.00	$107.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	134	$303.00	$123.51
93922 Ultrasound study of arm and leg arteries	130	110	$360.09	$65.17
93880 Ultrasound of both sides of head and neck blood flow	123	111	$655.66	$179.47
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	77	68	$640.48	$168.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	50	$428.00	$177.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$396.00	$161.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$527.47	$212.59
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$215.00	$85.06
93925 Ultrasound of leg arteries or artery grafts	43	41	$773.09	$224.64
93926 Ultrasound of one leg arteries or artery grafts	24	20	$522.92	$119.07
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	20	$265.90	$67.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	17	$628.76	$182.00
93990 Ultrasound of dialysis access	16	14	$571.00	$119.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$298.00	$109.76
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	15	$309.27	$82.53
35301 Removal of blood clot and portion of artery of neck	13	13	$7053.00	$1100.02
36819 Relocation of arm vein with connection to arm artery, open procedure	12	11	$4543.00	$712.49
76937 Ultrasonic guidance for blood vessel access	12	11	$64.92	$13.58
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	11	11	$8240.00	$87.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	144	117	$341.02	$63.26
93880 Ultrasound of both sides of head and neck blood flow	141	130	$697.28	$188.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	118	$230.00	$126.38
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	94	87	$619.18	$168.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$379.00	$162.24
99213 Established patient office or other outpatient visit, typically 15 minutes	59	53	$152.00	$89.83
93925 Ultrasound of leg arteries or artery grafts	49	46	$842.76	$240.66
93926 Ultrasound of one leg arteries or artery grafts	49	40	$502.90	$119.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	36	$333.00	$176.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$482.00	$218.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$106.00	$54.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$690.00	$189.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$541.00	$196.96
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$417.07	$104.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$268.00	$110.45
93990 Ultrasound of dialysis access	14	14	$530.43	$123.11
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	13	13	$4840.00	$918.89
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$207.00	$83.66
35301 Removal of blood clot and portion of artery of neck	11	11	$6148.00	$1116.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93880 Ultrasound of both sides of head and neck blood flow	128	116	$642.04	$174.77
93922 Ultrasound study of arm and leg arteries	118	100	$314.74	$60.11
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	74	68	$550.12	$156.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$225.00	$106.66
99213 Established patient office or other outpatient visit, typically 15 minutes	65	61	$149.00	$73.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	50	$103.00	$44.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$262.00	$105.28
93925 Ultrasound of leg arteries or artery grafts	49	43	$784.98	$232.54
93926 Ultrasound of one leg arteries or artery grafts	33	28	$436.00	$108.87
99441 Telephone medical discussion with physician, 5-10 minutes	28	27	$102.89	$44.28
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	20	18	$188.40	$81.62
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	17	$394.32	$97.37
75625 Radiological supervision and interpretation X-ray of abdominal aorta	18	18	$186.89	$65.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$371.00	$161.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$604.89	$169.19
36832 Revision of dialysis graft, open procedure	13	13	$3056.00	$758.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93922 Ultrasound study of arm and leg arteries	228	114	$201.31	$38.35
93880 Ultrasound of both sides of head and neck blood flow	225	136	$429.74	$120.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	167	$219.00	$104.48
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	130	76	$369.62	$104.95
93926 Ultrasound of one leg arteries or artery grafts	100	52	$285.74	$73.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	75	$100.00	$43.36
93925 Ultrasound of leg arteries or artery grafts	86	46	$441.00	$134.15
99213 Established patient office or other outpatient visit, typically 15 minutes	57	55	$145.00	$71.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$255.00	$104.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$361.00	$157.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	41	22	$341.00	$92.31
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	36	36	$181.00	$84.47
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	35	19	$243.94	$61.85
75625 Radiological supervision and interpretation X-ray of abdominal aorta	30	30	$180.00	$54.53
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	19	17	$5959.00	$239.93
36819 Relocation of arm vein with connection to arm artery, open procedure	19	19	$3507.96	$646.86
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	17	$2808.00	$167.68
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	17	11	$687.18	$177.45
36907 Balloon dilation of dialysis segment with review by radiologist	17	16	$3565.00	$146.48
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4629.00	$934.83
36832 Revision of dialysis graft, open procedure	14	13	$2831.95	$695.79
35301 Removal of blood clot and portion of artery of neck	12	12	$5194.00	$953.13
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$263.00	$98.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$318.00	$141.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	144	$210.90	$102.07
93922 Ultrasound study of arm and leg arteries	166	89	$184.06	$41.77
93880 Ultrasound of both sides of head and neck blood flow	161	100	$349.19	$125.15
99213 Established patient office or other outpatient visit, typically 15 minutes	143	110	$140.48	$69.56
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	109	74	$308.44	$112.33
93926 Ultrasound of one leg arteries or artery grafts	85	44	$227.64	$76.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	50	$93.02	$41.75
93925 Ultrasound of leg arteries or artery grafts	54	32	$388.78	$155.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	34	$218.48	$73.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$336.40	$157.69
76937 Ultrasonic guidance for blood vessel access	38	37	$64.63	$14.09
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	35	29	$2356.69	$236.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$232.00	$102.92
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	24	21	$155.75	$83.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$429.71	$198.26
36832 Revision of dialysis graft, open procedure	18	15	$2001.44	$707.55
75625 Radiological supervision and interpretation X-ray of abdominal aorta	17	16	$156.35	$54.05
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	15	15	$138.67	$18.15
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	12	$792.92	$165.79
36907 Balloon dilation of dialysis segment with review by radiologist	12	11	$1381.58	$144.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	160	$216.59	$101.83
99213 Established patient office or other outpatient visit, typically 15 minutes	163	128	$146.00	$68.32
93922 Ultrasound study of arm and leg arteries	114	90	$230.00	$63.80
93880 Ultrasound of both sides of head and neck blood flow	107	96	$390.00	$188.14
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	82	69	$390.00	$173.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$334.00	$156.69
76937 Ultrasonic guidance for blood vessel access	63	54	$72.00	$13.80
93926 Ultrasound of one leg arteries or artery grafts	51	41	$244.00	$122.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$216.00	$102.92
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	33	32	$430.00	$208.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$86.00	$41.33
93925 Ultrasound of leg arteries or artery grafts	33	28	$380.00	$235.12
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	22	22	$250.00	$110.64
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	20	17	$600.00	$229.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$150.00	$67.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$280.00	$125.94
37228 Balloon dilation of artery of leg, initial vessel	15	13	$1220.00	$535.18
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	14	14	$303.21	$107.70
36821 Relocation of arm vein with connection to arm artery, open procedure	14	14	$1490.00	$649.42
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	13	13	$1000.00	$352.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$412.00	$195.76
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	12	$289.00	$136.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 200400490

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Carolinas Physicians Network Inc

4525 Cameron Valley Pkwy, Charlotte, NC 282114369

Phone: 7045122506

Secondary Practice Locations

447 Mcalister Rd, Ste 3200

Lincolnton, NC 280924114

Phone: 9802126300

101 E W T Harris Blvd, Ste 1213

Charlotte, NC 282623485

Phone: 7048631950

1237 Harding Pl, Ste 3100

Charlotte, NC 28204

Phone: 7043730212

10650 Park Rd

Charlotte, NC 282108538

Phone: 7046673840

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Rajiv Paudel , MD

Internal Medicine

NPI 1023240132

Doctor of Medicine (M.D.)

Dr. Santhosh Reddy Devarapally , MD

Internal Medicine - Cardiovascular Disease

NPI 1063727659

Doctor of Medicine (M.D.)

Brittany Atkinson , FNP

Nurse Practitioner - Family

NPI 1073393872

Family Nurse Practitioner

Dr. Heather Longin , MD

Internal Medicine - Cardiovascular Disease

NPI 1154543692

Doctor of Medicine (M.D.)

Aurelie May , NP

Nurse Practitioner

NPI 1275815110

Nurse Practitioner

Leslie Ann Marcial-Hinck , NP

Nurse Practitioner

NPI 1346963097

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location February 10, 2020

Registered at 1550 FAULK ST, STE 3100, MONROE, NC 281125086 (Tel: 7046673410)

📍

Updated Practice Location October 04, 2019

Registered at 1550 FAULK ST, SUITE 3100, MONROE, NC 281125086 (Tel: 7046673410)

📍

Updated Business Mailing Address May 29, 2019

Registered at PO BOX 19305, CHARLOTTE, NC 282199305

👤

Provider Name / Credentials Updated May 29, 2019

Recorded as LANCE DIEHL, MD

📍

Updated Business Mailing Address May 07, 2019

Registered at 146 MEDICAL PARK RD, SUITE 206, MOORESVILLE, NC 281178528

📍

Updated Business Mailing Address March 18, 2019

Registered at 146 MEDICAL PARK ROAD, SUITE 206, MOORESVILLE, NC 28114

📍

Updated Business Mailing Address February 26, 2019

Registered at 146 MEDICAL PARK RD, SUITE 206, MOORESVILLE, NC 281178528

📍

Updated Business Mailing Address January 04, 2019

Registered at 146 MEDICAL PARK RD, MOORESVILLE, NC 281178528

📍

Updated Business Mailing Address October 01, 2018

Registered at 146 MEDICAL PARK ROAD, MOORESVILLE, NC 28114

👤

Provider Name / Credentials Updated October 01, 2018

Recorded as LANCE DIEHL

✅

NPI Profile Active October 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2016

Registered at 146 MEDICAL PARK RD, SUITE 206, MOORESVILLE, NC 281178528 (Tel: 7047993939)

📍

Updated Business Mailing Address October 19, 2016

Registered at 146 MEDICAL PARK RD, SUITE 206, MOORESVILLE, NC 281178528 (Tel: 7047993939)

👤

Provider Name / Credentials Updated October 19, 2016

Recorded as LANCE DIEHL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2016

Surgery (License #200400490 in NC)

🟢

Initial NPI Registration & Enumeration November 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013991579

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 30, 2005

Last Update: July 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 19305

Charlotte, NC 282199305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.