Individual
DR. NICOLE SHARON WELLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD STE 102, MOORESVILLE, NC 28117-8523
(704) 663-1282
(704) 663-1413
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2016-00705
NC
Other
Enumeration date
06/26/2012
Last updated
09/20/2017
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