Organization
WELLCOMEMD CHARLOTTE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW ACAMPORA MD (PHYSICIAN)
(704) 444-0999
Entity
Organization
Contact information
Practice address
8035 PROVIDENCE RD STE 315, CHARLOTTE, NC 28277-8909
(704) 444-0999
Mailing address
2500 GASKINS RD STE A, RICHMOND, VA 23238-1480
(804) 774-7099
(804) 528-5864
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VV6587H342
—
VA
Enumeration date
10/11/2019
Last updated
11/27/2023
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