Madison Alexandra Redwine, PA
Physician Assistant in Charlotte, NC. Individual provider (NPI-1).
NPI number1457080418
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1457080418
- Entity type
- Individual (NPI-1)
- Name
- Madison Alexandra Redwine
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2022
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12313 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
3333 Wilkinson BlvdCharlotte, NC 28208-5631
Phone 704-393-7720 · Fax 704-398-3173
Mailing address
214 Bellemeade St Apt 304Wilkinson Blvd
Greensboro, NC 27401-2572
Phone 704-393-7720 · Fax 704-910-5165
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