Organization
NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY JONES (REGIONAL BUSINESS MANAGER)
(980) 721-2675
Entity
Organization
Contact information
Practice address
309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
(704) 926-7546
Mailing address
309 S SHARON AMITY RD, SUITE 102, CHARLOTTE, NC 28211-2978
(704) 926-7546
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
05/04/2016
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