# INTERNAL MEDICINE & WELLNESS CENTER PA

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

## Provider details

- **NPI number:** 1871558262
- **Authorized official:** JOHN WILLIAM WOODWARD II MD (OWNER/PRESIDENT)
- **Authorized official phone:** (704) 503-6321

## Contact information

- **Practice address:** 10320 MALLARD CREEK RD, CHARLOTTE, NC 28262-9756
- **Practice address phone:** (704) 503-1332
- **Practice address fax:** (704) 503-7951
- **Mailing address:** 10320 MALLARD CREEK RD STE 271, CHARLOTTE, NC 28262-5204
- **Mailing address phone:** (045) 036-3217
- **Mailing address fax:** (704) 503-7957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | — | NULL | Yes |
| 170100000X | Ph.D. Medical Genetics | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 12/04/2024