Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Charlotte General and Vascular Surgery PLLC

Organization Surgery Physician · NPI 1144524190

South Charlotte General and Vascular Surgery PLLC provides Surgery Physician services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
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

13430 Hoover Creek Blvd Ste 200
Charlotte, NC 28273-0054
Phone: (704) 910-8380
Fax: (704) 710-8045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2009-00158 (NC)

Record details

NPI number1144524190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Antezana — General And Vascular Surgeon · (803) 412-5126
NPI enumeratedJanuary 5, 2011
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address13430 Hoover Creek Blvd Ste 200, Charlotte, NC 28273-0054

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