Healthcare Provider Details

I. General information

NPI: 1811081789
Provider Name (Legal Business Name): GREGORY CURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6115 PARK SOUTH DR STE 100
CHARLOTTE NC
28210-3281
US

IV. Provider business mailing address

121 BOW ST UNIT 1
PORTSMOUTH NH
03801-3854
US

V. Phone/Fax

Practice location:
  • Phone: 704-554-8787
  • Fax: 704-554-8774
Mailing address:
  • Phone: 603-208-8055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number285761
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01867
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: