Southpark Behavioral Medicine Specialists, P.A. Valid NPI

Organization · Geriatric Psychiatry Physician · Charlotte, NC

NPI

1588698559

Type

Organization (Type 2)

Primary specialty

Geriatric Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0805X

License number

9300426 (NC)

Enumerated

2006-07-10

Last updated

2025-09-11