Healthcare Provider Details

I. General information

NPI: 1053343038
Provider Name (Legal Business Name): DAVID ALAN CROLAND D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16147 LANCASTER HWY STE 120
CHARLOTTE NC
28277-2051
US

IV. Provider business mailing address

16147 LANCASTER HWY STE 120
CHARLOTTE NC
28277-2051
US

V. Phone/Fax

Practice location:
  • Phone: 704-243-7106
  • Fax: 980-498-2966
Mailing address:
  • Phone: 704-243-7106
  • Fax: 980-498-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9701729
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: