Healthcare Provider Details

I. General information

NPI: 1770615114
Provider Name (Legal Business Name): PROMED HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 MCCULLOUGH DR STE 205
CHARLOTTE NC
28262-4392
US

IV. Provider business mailing address

PO BOX 909
DAVIDSON NC
28036-0909
US

V. Phone/Fax

Practice location:
  • Phone: 980-726-0663
  • Fax:
Mailing address:
  • Phone: 980-326-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL PETER SEWARD
Title or Position: MEMBER/MANAGER
Credential: M.D
Phone: 980-326-0663