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INTERNAL MEDICINE & WELLNESS CENTER PA NPI 1871558262


NPI Information

NPI: 1871558262
Provider Name: INTERNAL MEDICINE & WELLNESS CENTER PA
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
10320 MALLARD CREEK RD
CHARLOTTE, NC
ZIP 28262
Phone: (704) 503-1332
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INTERNAL MEDICINE & WELLNESS CENTER PA is a medical genetics phd medical genetics in Charlotte, NC. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. INTERNAL MEDICINE & WELLNESS CENTER PA NPI is 1871558262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10320 MALLARD CREEK RD
CHARLOTTE, NC
ZIP 28262-756
Phone: (704) 503-1332
Fax: (704) 503-7951

The provider's authorized official is David Scott Moss .
The authorized official title is Owner and has the following contact phone number (704) 503-1332.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 8/22/2020.


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
1170100000XMedical Genetics, Ph.D. Medical GeneticsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16811OTHERNORTH CAROLINABCBS ID

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: 4/28/2024

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