Organization
SOUTHPARK BEHAVIORAL MEDICINE SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA K BOYER M.D. (OWNER)
(704) 442-1655
Entity
Organization
Contact information
Practice address
6845 FAIRVIEW RD, CHARLOTTE, NC 28210-3500
(704) 442-1655
(704) 442-9360
Mailing address
6845 FAIRVIEW RD, CHARLOTTE, NC 28210-3500
(704) 442-1655
(704) 442-9360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9300426
NC
2084P0805X
Geriatric Psychiatry Physician
Primary
9300426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7917260
—
NC
Enumeration date
07/10/2006
Last updated
09/11/2025
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