# CAROLINA FAMILY HEALTHCARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAROLINA FAMILY HEALTHCARE, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548529878
- **Legal business name:** CAROLINA FAMILY HEALTHCARE, PA
- **Authorized official:** DINO P KANELOS MD (OWNER)
- **Authorized official phone:** (704) 847-4000

## Contact information

- **Practice address:** 11220 ELM LN STE 102, CHARLOTTE, NC 28277-0716
- **Practice address phone:** (704) 847-4000
- **Practice address fax:** (704) 847-4001
- **Mailing address:** 11220 ELM LN STE 102, CHARLOTTE, NC 28277-0716
- **Mailing address phone:** (704) 847-4000
- **Mailing address fax:** (704) 847-4001

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2012
- **Last updated:** 12/04/2024