Center for Quality of Life Issues PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9700784 Issued in NC

Legal business name

CENTER FOR QUALITY OF LIFE ISSUES PLLC

Practice address

6429 Bannington Rd
Ste B
Charlotte, NC 28226-1344

Phone

(704) 540-0224

Fax

(704) 540-0694

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maryann Traxler, M.D.

Title

Owner

Phone

(704) 540-0224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1730448754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261344",
            "telephone_number": "704-540-0224",
            "fax_number": "704-540-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD",
            "address_2": "STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261344",
            "telephone_number": "704-540-0224",
            "fax_number": "704-540-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR QUALITY OF LIFE ISSUES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "TRAXLER",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-540-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10 MEDICARE",
            "identifier": "2247144A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.