Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LUCAS (CHIEF ADMINISTRATIVE OFFICER)
(615) 419-0947
Entity
Organization
Contact information
Practice address
3022 EASTWAY DR STE 1-3, CHARLOTTE, NC 28205-5642
(704) 251-8228
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/11/2021
Last updated
01/14/2026
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