Organization
WELLCAREAMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DYER (PRESIDENT)
(877) 318-1349
Entity
Organization
Contact information
Practice address
11220 ELM LN STE 200, CHARLOTTE, NC 28277-0450
(877) 318-1349
(919) 354-2936
Mailing address
PO BOX 13219, DURHAM, NC 27709-3219
(877) 318-1349
(919) 354-2936
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
01/07/2026
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