MEDICARE: DR. GEORGE HENRY DORNBLAZER 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
1	2084P0800X	Psychiatry Physician	28853	NC

General Provider Information

NPI Number	:	1932257052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE HENRY DORNBLAZER M.D.

Provider Business Mailing Address
First Line	:	447 SOUTH SHARON AMITY ROAD
Second Line	:	SUITE 245
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2922
Country	:	US
Telephone Number	:	704-342-2577
Fax Number	:	704-333-3102

Provider Business Practice Location Address
First Line	:	447 SOUTH SHARON AMITY ROAD
Second Line	:	SUITE 245
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2922
Country	:	US
Telephone Number	:	704-342-2577
Fax Number	:	704-333-3102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	03/17/2017

Similar Medicare Providers

1306041991 — DR. CHARLES H. BROWN JR. PH.D.
Practice Location Address:

1332 HARDING PL
CHARLOTTE, NC
28204-2922

Practice Phone: 704-333-2988
Practice Fax: 704-333-3102

1326244021 — WILLIAM M. WARREN PH.D.
Practice Location Address:

1332 HARDING PL
CHARLOTTE, NC
28204-2922

Practice Phone: 704-333-2988
Practice Fax: 704-333-3102

1134781560 — GLORIA CAROLINA LOPEZ ALVARENGA MD
Practice Location Address:

4300 KINGS HWY STE 210
PORT CHARLOTTE, FL
33980-2922

Practice Phone: 239-344-2306
Practice Fax: 941-629-2365

1114698701 — FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.
Practice Location Address:

4300 KINGS HWY STE 210
PORT CHARLOTTE, FL
33980-2922

Practice Phone: 239-344-2306
Practice Fax: 941-629-2365

1528919024 — CHELSEA PUGA-LUNA
Practice Location Address:

3705 LATROBE DR STE 340
CHARLOTTE, NC
28211-4823

Practice Phone: 704-364-3989
Practice Fax: 704-364-3974

1104522382 — NICOLE SCHULTES LPC
Practice Location Address:

501 BILLINGSLEY RD STE B
CHARLOTTE, NC
28211-1009

Practice Phone: 561-312-5850
Practice Fax:

Directions to “ DR. GEORGE HENRY DORNBLAZER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.