Individual
DR. CHARLES BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 450, MATTHEWS, NC 28105-2387
(704) 384-8480
(704) 384-8481
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916324
—
NC
05
—
N19969
—
SC
Enumeration date
01/19/2006
Last updated
03/11/2015
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