MEDICARE: PROMED HEALTHCARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770615114
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMED HEALTHCARE, PLLC

Provider Business Mailing Address
First Line	:	7004 SMITH CORNERS BLVD STE A
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3827
Country	:	US
Telephone Number	:	704-688-9650
Fax Number	:	704-688-9651

Provider Business Practice Location Address
First Line	:	7004 SMITH CORNERS BLVD
Second Line	:	SUITE A
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-3793
Country	:	US
Telephone Number	:	704-688-9650
Fax Number	:	704-688-9651

Authorized Official
Title or Position	:	MEMBER/MANAGER
Name	:	MR. DANIEL PETER SEWARD
Credential	:	M.D
Telephone Number	:	704-688-9650

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	12/17/2025

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