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Search › North Carolina › Physician Assistant

Lila Divine, PA

NPI 1043883093 · on the registry since 2021 · sole proprietor

Practice

Address
10905 Providence Rd W Ste 270
Charlotte, NC 28277
Phone
(704) 316-3410
Fax
(704) 316-3420
Organisation at this address
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Novant Health Ballantyne Medical Center Llc
Novant Health Ballantyne Medical Center Llc
Novant Health Ballantyne Medical Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 24331 El Toro Rd Ste 200, Laguna Woods, CA

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Physician Assistant
Licence states on file
CA, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina