Blount, Charles

Blount, Charles is an individual health care provider with primary practice located at 1450 Matthews Township Pkwy Suite 450, Matthews NC 28105-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blount, Charles can be contacted via phone (704) 384-8480.

Contact Information

Primary practice address
1450 Matthews Township Pkwy Suite 450 Matthews NC 28105-2387
Phone: (704) 384-8480
Fax: (704) 384-8481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19969 North Carolina

Profile Details

NPI number 1720068380
LBN Legal business name Blount, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 11th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720068380 NPPES
South Carolina MEDICAID N19969
South Carolina MEDICAID 8916324

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