Mallard Creek Family Physicians

LBN: Presbyterian Regional Healthcare Corp.
Mallard Creek Family Physicians is an health care organization with primary practice located at 10320 Mallard Creek Rd Suite 100, Charlotte NC 28262-9756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Presbyterian Regional Healthcare Corp. can be contacted via phone (704) 547-9500, or through Easterling, Patrick D. via phone (704) 384-9094.

Contact Information

Primary practice address
10320 Mallard Creek Rd Suite 100 Charlotte NC 28262-9756
Phone: (704) 547-9500
Fax: (704) 547-9515
Website:
Map and Directions
Authorized official contact:
Name: Easterling, Patrick D.
Phone: (704) 384-9094

Health care specialties

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

Profile Details

NPI number 1972550994
LBN Legal business name Presbyterian Regional Healthcare Corp.
DBA Doing business as Mallard Creek Family Physicians
Authorized official Easterling, Patrick D.
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972550994 NPPES
North Carolina MEDICAID 5900657

Popular Providers