# FIRST FAMILY MEDICAL LLP

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

## Provider details

- **NPI number:** 1700296951
- **Authorized official:** MICHAEL NETTLES (OFFICE MANAGER)
- **Authorized official phone:** (704) 332-3350

## Contact information

- **Practice address:** 1928 RANDOLPH RD, STE 206, CHARLOTTE, NC 28207-1105
- **Practice address phone:** (704) 332-3350
- **Mailing address:** 1928 RANDOLPH RD, STE 206, CHARLOTTE, NC 28207-1105
- **Mailing address phone:** (704) 332-3350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2006-01193 | NC | Yes |
| 207R00000X | Internal Medicine Physician | 2006-01193 | NC | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 2006-01193 | NC | — |
| 207V00000X | Obstetrics & Gynecology Physician | 2006-01193 | NC | — |
| 207VE0102X | Reproductive Endocrinology Physician | 2006-01193 | NC | — |
| 207VG0400X | Gynecology Physician | 2006-01193 | NC | — |
| 208800000X | Urology Physician | 2006-01193 | NC | — |

## Other

- **Enumeration date:** 04/28/2014
- **Last updated:** 04/28/2014