=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811081789
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GREGORY CURTIS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2006
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6115 PARK SOUTH DR STE 100
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28210-3281
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-554-8787
-----------------------------------------------------
Fax | 704-554-8774
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 121 BOW ST UNIT 1
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03801-3854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-208-8055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RB0002X
-----------------------------------------------------
Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | 285761
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 01867
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------