Healthcare Provider Details

I. General information

NPI: 1922824937
Provider Name (Legal Business Name): UBYLEE HEALTHCARE GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1674 CRANIUM DR STE 103
ROCK HILL SC
29732-3583
US

IV. Provider business mailing address

9723 NORTHEAST PKWY STE 100
MATTHEWS NC
28105-9719
US

V. Phone/Fax

Practice location:
  • Phone: 980-262-3007
  • Fax:
Mailing address:
  • Phone: 980-262-3007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BAPTISTE STEVEN MARINO
Title or Position: OWNER/MD
Credential: MD
Phone: 980-262-3007