FUNCTIONAL MEDICINE 1 PLLC NPI 1164284964

NPI Information

  • NPI: 1164284964
  • Provider Name: FUNCTIONAL MEDICINE 1 PLLC
  • Classification: Integrative Medicine - 202D00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED URGENT CARE & WELLNESS
  • CLIA Number: 34D2301107
  • Address: 111 DAVE WARLICK DR
    LINCOLNTON, NC
    ZIP 28092
  • Phone: (704) 240-8133

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NPI Details

FUNCTIONAL MEDICINE 1 PLLC is an integrative medicine in Lincolnton, NC. The provider is a physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing. FUNCTIONAL MEDICINE 1 PLLC NPI is 1164284964. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Urgent Care & Wellness.

The provider's business location address is:

111 DAVE WARLICK DR
LINCOLNTON, NC
ZIP 28092-411
Phone: (704) 240-8133
Fax: (866) 493-3890

The provider's authorized official is Austin Dale Gates .
The authorized official title is Owner and has the following contact phone number (704) 214-0935.

The CLIA number assigned to this NPI record is 34D2301107 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 3/21/2024.

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
1202D00000XIntegrative MedicineYes

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: 3/30/2025

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