Organization
ACCESS DIRECT PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YENNY VANDER WAERDEN MD (MEMBER)
(510) 506-3200
Entity
Organization
Contact information
Practice address
6225 BLAKENEY PARK DR STE B, CHARLOTTE, NC 28277-5658
(248) 587-6037
Mailing address
6225 BLAKENEY PARK DR STE B, CHARLOTTE, NC 28277-5658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
10/02/2023
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