Organization
CHMA OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT WELIK (CEO)
(443) 383-9300
Entity
Organization
Contact information
Practice address
6047 TYVOLA GLEN CIR STE 100, CHARLOTTE, NC 28217-6431
(443) 383-9300
(855) 866-8710
Mailing address
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152-9477
(443) 383-9300
(855) 866-8710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/23/2021
Last updated
05/22/2025
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