Pippenger, Mark Anthony

Pippenger, Mark Anthony is an individual health care provider with primary practice located at 6324 Fairview Rd Ste 310 , Charlotte NC 28210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Pippenger, Mark Anthony can be contacted via phone (980) 302-8680.

Contact Information

Primary practice address
6324 Fairview Rd Ste 310 Charlotte NC 28210
Phone: (980) 302-8680
Fax: (980) 302-8681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X E-3021 Arkansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X E-3021 Arkansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 9400322 North Carolina

Profile Details

NPI number 1235248246
LBN Legal business name Pippenger, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 26th, 2020 - about 4 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 1235248246 NPPES
Arkansas MEDICAID 145071001

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