PRESTIGE HEALTH & WELLNESS CENTER PLLC NPI 1821521451

NPI Information

NPI: 1821521451
Provider Name: PRESTIGE HEALTH & WELLNESS CENTER, PLLC

Former Legal Business Name: STRONG HEALTH & WELLNESS CENTER, PLLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2711 RANDOLPH RD
SUITE 207
CHARLOTTE, NC
ZIP 28207
Phone: (704) 910-5982
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PRESTIGE HEALTH & WELLNESS CENTER, PLLC is a primary care clinic center in Charlotte, NC. PRESTIGE HEALTH & WELLNESS CENTER, PLLC NPI is 1821521451. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Strong Health & Wellness Center, Pllc.

The provider's business location address is:

2711 RANDOLPH RD
SUITE 207
CHARLOTTE, NC
ZIP 28207-034
Phone: (704) 910-5982
Fax: (704) 733-9796

The provider's authorized official is Devon M Rambert-hairston .
The authorized official title is Family Practitioner and has the following contact phone number (704) 910-5982.

The CLIA number assigned to this NPI record is 34D2127709 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/23/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	5004878	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NC3097B	MEDICARE PIN	NORTH CAROLINA
2	7005652	MEDICAID	NORTH CAROLINA

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

NPI Synchronization or Removal

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