Healthcare Provider Details

I. General information

NPI: 1790704872
Provider Name (Legal Business Name): DONALD U. TOATLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 11/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 RANDOLPH RD
CHARLOTTE NC
28207-1216
US

IV. Provider business mailing address

2028 RANDOLPH RD
CHARLOTTE NC
28207-1216
US

V. Phone/Fax

Practice location:
  • Phone: 704-372-5800
  • Fax: 704-372-5657
Mailing address:
  • Phone: 704-372-5800
  • Fax: 704-372-5657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number200200616
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: