Organization
ARCHWELL HEALTH PROFESSIONAL SERVICES OF NORTH CAROLINA, P.C.
Active
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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