# EVENTUS WH SOUTHEAST-EASTERN NC

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

## Provider details

- **NPI number:** 1356162382
- **Authorized official:** GEORGE D HALL (MD / OWNER)
- **Authorized official phone:** (980) 271-2563

## Contact information

- **Practice address:** 2810 COLISEUM CENTRE DR STE 120, CHARLOTTE, NC 28217-3255
- **Practice address phone:** (855) 743-2247
- **Mailing address:** 101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
- **Mailing address phone:** (855) 743-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 08/12/2026