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HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI 1417328931


NPI Information

NPI: 1417328931
Provider Name: HEALTHWORKS MED GROUP OF NORTH CAROLINA P C

Doing Business As: BETSILL LIVING WELL HEALTH AND WELLNESS CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 34D2104085

Address:
13520 BALLANTYNE CORPORATE PL
CHARLOTTE, NC
ZIP 28277
Phone: (980) 500-5010
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HEALTHWORKS MED GROUP OF NORTH CAROLINA P C is an urgent care clinic center in Charlotte, NC. HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI is 1417328931. The provider is registered as an organization entity type.
The provider Is Doing Business As Betsill Living Well Health And Wellness Center.

The provider's business location address is:

13520 BALLANTYNE CORPORATE PL
CHARLOTTE, NC
ZIP 28277-706
Phone: (980) 500-5010

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 34D2104085 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2015 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.