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NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC PLLC NPI 1376976878


NPI Information

NPI: 1376976878
Provider Name: NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC
Classification: Family Medicine - 207QB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
7940 WILLIAMS POND LN
SUITE 150
CHARLOTTE, NC
ZIP 28277
Phone: (704) 752-7779
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NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC is an obesity medicine family medicine in Charlotte, NC. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. NC PREVENTATIVE MEDICINE AND WELLNESS CLINIC, PLLC NPI is 1376976878. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7940 WILLIAMS POND LN
SUITE 150
CHARLOTTE, NC
ZIP 28277-766
Phone: (704) 752-7779
Fax: (704) 752-7775

The provider's authorized official is Kathryn Ann Shaw .
The authorized official title is Medical Director/owner and has the following contact phone number (704) 752-7779.

The enumeration date for this NPI number is 8/20/2013 and was last updated on 8/20/2013.


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
1207QB0002XFamily MedicineObesity 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: 4/28/2024

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