Organization
SOUTHERN MOBILE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY MANDLER (DIRECTOR OF CONTRACTING)
(305) 890-7738
Entity
Organization
Contact information
Practice address
5804 MONROE RD STE C, CHARLOTTE, NC 28212-6183
(385) 499-5535
Mailing address
PO BOX 3044, HOUSTON, TX 77253-3044
(385) 499-5535
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
02/24/2026
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