Provider Demographics
NPI:1922824937
Name:UBYLEE HEALTHCARE GROUP, PLLC
Entity type:Organization
Organization Name:UBYLEE HEALTHCARE GROUP, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:BAPTISTE
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:MARINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:980-262-3007
Mailing Address - Street 1:9723 NORTHEAST PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-9719
Mailing Address - Country:US
Mailing Address - Phone:980-262-3007
Mailing Address - Fax:
Practice Address - Street 1:1674 CRANIUM DR STE 103
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3583
Practice Address - Country:US
Practice Address - Phone:980-262-3007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UBYLEE HEALTHCARE GROUP, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-25
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty