Healthcare Provider Details

I. General information

NPI: 1992153407
Provider Name (Legal Business Name): MALORI MONET CALLENDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 THE PLZ UNIT 18
CHARLOTTE NC
28215-2189
US

IV. Provider business mailing address

4444 THE PLZ UNIT 18
CHARLOTTE NC
28215-2189
US

V. Phone/Fax

Practice location:
  • Phone: 336-360-2407
  • Fax:
Mailing address:
  • Phone: 980-467-3979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0088020
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD047667
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101267794
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: