# NORTHWEST FAMILY PHYSICIANS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093721722
- **Authorized official:** MR. WILLIAM G. LARSEN M.D. (OWNER)
- **Authorized official phone:** (704) 926-7800

## Contact information

- **Practice address:** 7920 MOORES CHAPEL RD, CHARLOTTE, NC 28214-9453
- **Practice address phone:** (704) 926-7800
- **Practice address fax:** (704) 926-7806
- **Mailing address:** 7920 MOORES CHAPEL RD, CHARLOTTE, NC 28214-9453
- **Mailing address phone:** (704) 926-7800
- **Mailing address fax:** (704) 926-7806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 01/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89-011A0 | — | NC |