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NPI Code Detail

MEDICARE: DR. DEBORAH NAOMI AMIRTHAM M.D.

MEDICARE: DR. DEBORAH NAOMI AMIRTHAM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician14522NH
2207Q00000XFamily Medicine Physician2025-03199NC

General Provider Information

NPI Number : 1215154075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH NAOMI AMIRTHAM M.D.
Provider Business Mailing Address
First Line : 5960 FAIRVIEW RD STE 500
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3113
Country : US
Telephone Number : 704-495-6334
Fax Number :
Provider Business Practice Location Address
First Line : 11030 GOLF LINKS DR STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-8047
Country : US
Telephone Number : 704-495-6334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 05/06/2026

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