HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI 1053838912

NPI Information

HEALTHWORKS MED GROUP OF NORTH CAROLINA P C is a multi-specialty clinic center in Charlotte, NC. HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI is 1053838912. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Clinic.

The provider's business location address is:

5501 JOSH BIRMINGHAM PKWY # B11B12
CHARLOTTE, NC
ZIP 28208-750
Phone: (866) 273-0986
Fax: (866) 608-6846

The provider's authorized official is James M Thiel .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 34D2137137 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 6/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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