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Search › North Carolina › 225100000X

Ethan Mix, DPT

NPI 1295108090 · on the registry since 2015

Practice

Address
445 S Kings Dr
Charlotte, NC 28204
Phone
(704) 384-1737
Organisation at this address
Novant Medical Group, Inc.
Carolina Medicorp Enterprises Inc
Carolina Medicorp Enterprises Inc
Carolina Medicorp Enterprises, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 92 West Ave, Brockport, NY
  • 10810 Mallard Creek Rd, Charlotte, NC

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
NY, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-24

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