Organization
NEUROLOGY WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-RONEL CORBIER M.D. (OWNER)
(704) 541-9117
Entity
Organization
Contact information
Practice address
10508 PARK RD, STE 130, CHARLOTTE, NC 28210-8525
(704) 541-9117
(704) 541-9197
Mailing address
10508 PARK RD, STE 130, CHARLOTTE, NC 28210-8525
(704) 541-9117
(704) 541-9197
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2006-01910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905648
—
NC
Enumeration date
04/09/2014
Last updated
04/09/2014
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