| Larry F Berman MD Msph PA | |
|
10620 Park Rd Ste 128 Charlotte NC 28210-8472 | |
| (704) 542-6111 | |
| (704) 542-1239 |
| Full Name | Larry F Berman MD Msph PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 10620 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | David Moye (DIRECTOR) |
| Authorized Official Contact | 9196140301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry F Berman MD Msph PA Po Box 96860 Charlotte NC 28296-6860 Ph: (919) 233-5952 | Larry F Berman MD Msph PA 10620 Park Rd Ste 128 Charlotte NC 28210-8472 Ph: (704) 542-6111 |
| NPI Number | 1154872315 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154872315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
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