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Organization
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC
Active
Organization
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JONES (REGIONAL BUSINESS MANAGER)
(980) 721-2675
Entity
Organization
Contact information
Practice address
309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
(704) 926-7546
Mailing address
309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
(704) 926-7546
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
05/04/2016
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