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Organization

MARIGOLD VMWL NORTH CAROLINA, P.C.

Active
Other names
Virtual Medical Weight Loss
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA ASTER (SR. DIRECTOR, COMPLIANCE)
(704) 534-0341
Entity
Organization

Contact information

Practice address
423 FORTRESS BLVD, MORGANTOWN, WV 26508-1351
(304) 225-2500
Mailing address
1101 RED VENTURES DR, FORT MILL, SC 29707-5005
(704) 534-0341

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
06/16/2023
Last updated
07/22/2026
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