NPI 1255136529
Tanija S Wills
Practice location
- Address
- 901 W Trade St, Charlotte, NC 28202-1143
- Phone
- (704) 440-3580
- Mailing address
- 10506 Grobie Way APT 206, Charlotte, NC 28216-0251
Registered specialties
Technician/Technologist
Primary
Registry record
- NPI
- 1255136529
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Feb 2025
- Record last updated
- 19 Feb 2025
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.