Organization
PREMIER GYNECOLOGY & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BOX MORAN MD (OWNER)
(704) 650-7156
Entity
Organization
Contact information
Practice address
2310 RANDOLPH RD STE B, CHARLOTTE, NC 28207-1526
(704) 650-7156
(855) 695-6439
Mailing address
2310 RANDOLPH RD STE B, CHARLOTTE, NC 28207-1526
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2008-00351
NC
Other
Enumeration date
05/18/2018
Last updated
06/11/2019
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