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Organization
INTERNAL MEDICINE & WELLNESS CENTER PA
Active
Organization
INTERNAL MEDICINE & WELLNESS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM WOODWARD II MD (OWNER/PRESIDENT)
(704) 503-6321
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, CHARLOTTE, NC 28262-9756
(704) 503-1332
(704) 503-7951
Mailing address
10320 MALLARD CREEK RD STE 271, CHARLOTTE, NC 28262-5204
(045) 036-3217
(704) 503-7957
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
NULL
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
12/04/2024
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