Individual
NICHOLAS WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 FAIRVIEW RD STE 1200, CHARLOTTE, NC 28210-2252
(704) 626-2505
(704) 626-2505
Mailing address
303 PERIMETER CTR N, STE 300, ATLANTA, GA 30346-3401
(704) 626-2505
(704) 626-2505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57020097
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
183488
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215212691
—
NC
01
—
20-38651
CSR
SC
Enumeration date
10/17/2011
Last updated
02/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us