Dr. Payton Gregory Fennell
Family Doctor Family Doctor - Sports Medicine
4741 Randolph Rd
Charlotte
, North Carolina 28211-2919
Dr. Payton Gregory Fennell
Family Doctor Family Doctor - Sports Medicine
4741 Randolph Rd
Charlotte
, North Carolina 28211-2919
(828) 328-4049
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Payton Gregory Fennell
- 52 12th Ave Ne
- Hickory, NC
- Zip : 28601-2798
- Fax : (828) 328-4049
- Phone : (828) 485-3004
Second Address
- Dr. Payton Gregory Fennell
- 4741 Randolph Rd
- Charlotte, NC
- Zip : 28211-2919
- Fax : (704) 365-6731
- Phone : (704) 365-6730
Reviews
FAQs
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Is Dr. Payton Gregory Fennell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 200601317 | NC |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 200601317 | NC |
National Provider Identifier
| NPI | 1306906086 |
|---|---|
| Provider Name | Dr. Payton Gregory Fennell |
| First Address | Hickory, NC 28601-2798 |
| Second Address | Charlotte, NC 28211-2919 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 14/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1306906086 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.