Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Integrative Immunology Care PLLC

Organization Dermatology Physician · NPI 1063239044

Integrative Immunology Care PLLC provides Dermatology Physician services in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8810 Blakeney Professional Dr Ste 100
Charlotte, NC 28277-6596
Phone: (704) 910-1402
Fax: (704) 910-1506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1063239044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maeve Oconnor — Owner · (704) 910-1402
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address8810 Blakeney Professional Dr Ste 100, Charlotte, NC 28277-6596

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