Healthcare Provider Details

I. General information

NPI: 1922064005
Provider Name (Legal Business Name): DAVID ALAN COMPTON MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 06/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 SOUTH BLVD
CHARLOTTE NC
28203-4726
US

IV. Provider business mailing address

231 WENDOVER HEIGHTS CIR
CHARLOTTE NC
28211-1348
US

V. Phone/Fax

Practice location:
  • Phone: 704-338-1268
  • Fax: 704-338-9358
Mailing address:
  • Phone: 704-219-0750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number34284
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number34284
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number34284
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: