NPI 1871558262
Internal Medicine & Wellness Center PA
Practice location
- Address
- 10320 Mallard Creek Rd, Charlotte, NC 28262-9756
- Phone
- (704) 503-1332
- Fax
- (704) 503-7951
- Mailing address
- 10320 Mallard Creek Rd STE 271, Charlotte, NC 28262-5204
Authorised official
- Name
- John William Woodward
- Title
- Owner/President
- Phone
- (704) 503-6321
Registered specialties
Ph.D. Medical Genetics
Primary
Registry record
- NPI
- 1871558262
- Entity type
- Organization
- NPI issued
- 19 Apr 2006
- Record last updated
- 4 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.