Mountcastle Medical & Med Spa Pllc

NPI Registration Record

Provider / Organization	NPI	Date Certified
MOUNTCASTLE MEDICAL & MED SPA PLLC	1518532126	2021-07-12

The organization Mountcastle Medical & Med Spa Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1518532126. Registration indicates Mountcastle Medical & Med Spa Pllc is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Neuromusculoskeletal Medicine, Sports Medicine (Neuromusculoskeletal Medicine, Sports Medicine, ) (Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) Access to Substance Use Disorder Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine: Addiction Medicine, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Family Medicine Addiction Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, ) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine: Sleep Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine Sleep Medicine, Allopathic & Osteopathic Physicians) (Family Medicine, ) (Allopathic & Osteopathic Physicians, Pain Medicine) (Pain Medicine: Interventional Pain Medicine, ) (Specialist Network, ) (Pain Medicine Interventional Pain Medicine, Allopathic & Osteopathic Physicians) (Pain Medicine, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity Type	Organization
Provider Organization	MOUNTCASTLE MEDICAL & MED SPA PLLC
Practice Office Address	701 S MAIN ST LILLINGTON, NC US
Practice Office Telephone	9109841152
Practice Office Fax	9109841171
Mailing Address	701 S MAIN ST LILLINGTON, NC 275467681 US
Business Telephone	9109841152
Business Fax	9109841171
Authorized Official	BRANDY N MOUNTCASTLE, MEMBER, ORGANIZ 9108906590

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