# ONWARD CHARLOTTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316501646
- **Authorized official:** JORDAN BERRY DPT (COO)
- **Authorized official phone:** (336) 467-1453

## Contact information

- **Practice address:** 529 W SUMMIT AVE STE 1D, CHARLOTTE, NC 28203-4350
- **Practice address phone:** (336) 467-1453
- **Mailing address:** 529 W SUMMIT AVE STE 1D, CHARLOTTE, NC 28203-4400
- **Mailing address phone:** (704) 228-3825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 12/21/2020