Organization
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN ANN SHAW M.D. (MEDICAL DIRECTOR/OWNER)
(704) 752-7779
Entity
Organization
Contact information
Practice address
7940 WILLIAMS POND LN, SUITE 150, CHARLOTTE, NC 28277-8766
(704) 752-7779
(704) 752-7775
Mailing address
7940 WILLIAMS POND LN, SUITE 150, CHARLOTTE, NC 28277-8766
(704) 752-7779
(704) 752-7775
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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