Organization
GENERATIONAL HEALTH OF NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WIGGINS MD (OWNER)
(800) 291-4020
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN, CHARLOTTE, NC 28209-3236
(800) 291-4020
Mailing address
1515 MOCKINGBIRD LN, CHARLOTTE, NC 28209-3236
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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