OrganizationActive
Carolina Physical Medicine PC
NPI 1619413820 · Physical Medicine & Rehabilitation Physician · Charlotte, NC
Provider details
- NPI number
- 1619413820
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Hyser, Manager(704) 800-7414
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6911 Shannon Willow Rd
Suite 500
Charlotte, NC 28226-1346
Phone: (704) 800-7414
Fax: (704) 817-3390
Approximate (ZIP-level) locationGet directions
Mailing address
6911 Shannon Willow Rd
Charlotte, NC 28226-1346
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2017-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.