# NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC

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

## Provider details

- **NPI number:** 1609294925
- **Authorized official:** WENDY JONES (REGIONAL BUSINESS MANAGER)
- **Authorized official phone:** (980) 721-2675

## Contact information

- **Practice address:** 309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
- **Practice address phone:** (704) 926-7546
- **Mailing address:** 309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
- **Mailing address phone:** (704) 926-7546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2014
- **Last updated:** 05/04/2016