Search › North Carolina › 207QS0010X
Payton Fennell, D.O
NPI 1306906086 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4741 Randolph Rd
Charlotte, NC 28211 - Phone
- (704) 365-6730
- Fax
- (704) 365-6731
- Organisation at this address
- Michael T. Williams, Dmd, Pllc
Novant Health Medical Group, Llc
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 5641 Poplar Tent Rd, Concord, NC
- 52 12th Ave Ne, Hickory, NC
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207Q00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-14
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