Individual
DR. DARRELL ALEXANDER KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3253
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3253
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2002-00935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000293192
UNISON HEALTH PLAN SC
SC
01
—
01146021
AMERIGROUP OF SC
SC
01
—
10-00211
UNITED HEALTHCARE
NC
01
—
13159
BLUE CROSS BLUE SHIELD
NC
01
—
180357
COVENTRY HEALTHCARE
NC
01
—
20095447
SELECT HEALTH OF SC
SC
01
—
2103802
MAMSI
NC
01
—
7049291
AETNA HEALTHPLAN
NC
01
—
7340670002
CIGNA HEALTHCARE
NC
01
—
773673
WELLCARE
—
01
—
800996
PARTNERS HEALTHPLAN
NC
05
—
8913159
—
NC
01
—
B8346
MEDCOST
NC
05
—
N00936
—
NC
Enumeration date
09/15/2005
Last updated
04/26/2021
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