Healthcare Provider Details

I. General information

NPI: 1902486061
Provider Name (Legal Business Name): DARIEN LASHAWN MCNEILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11415 GOLF LINKS DR STE 100
CHARLOTTE NC
28277-8228
US

IV. Provider business mailing address

11415 GOLF LINKS DR STE 100
CHARLOTTE NC
28277-8228
US

V. Phone/Fax

Practice location:
  • Phone: 704-831-4300
  • Fax: 704-831-4391
Mailing address:
  • Phone: 704-831-4300
  • Fax: 704-831-4391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number2026-03679
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: