HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI 1992055941

NPI Information

HEALTHWORKS MED GROUP OF NORTH CAROLINA P C is a general practice in Charlotte, NC. HEALTHWORKS MED GROUP OF NORTH CAROLINA P C NPI is 1992055941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vanguard Charlotte.

The provider's business location address is:

2605 WATER RIDGE PKWY
SUITE 100
CHARLOTTE, NC
ZIP 28217-565
Phone: (704) 306-9355
Fax: (704) 306-4614

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 34D2045739 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2012 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:

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