Healthcare Provider Details

I. General information

NPI: 1710978986
Provider Name (Legal Business Name): DAVID C VOELLINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 HAWTHORNE LN STE 100
CHARLOTTE NC
28204-2536
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-316-7760
  • Fax: 704-316-7761
Mailing address:
  • Phone: 704-316-7760
  • Fax: 704-316-7761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number200201019
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: