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General NPI Number Information
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NPI Number | 1497377139
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Entity Type | Individual
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Provider Name | MICHAEL CAMERON LECOMPTE MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2020
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 200 QUEENS RD STE 400
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City | CHARLOTTE
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State | NC
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Zip | 28204-3264
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Country | US
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Telephone | 704-765-2578
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE STE 1440
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City | BALTIMORE
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6340
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Fax | 410-502-1419
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 93723
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2025-01173
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License Number State | NC
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