| Innovation Health Llc | |
|
8335 Ibm Dr, 150, Charlotte, NC 28262-4329 | |
| (704) 549-3005 | |
| Not Available |
| Full Name | Innovation Health Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8335 Ibm Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023450731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4316 (North Carolina) | Secondary |
| 111N00000X | Chiropractor | 4369 (North Carolina) | Primary |
| Provider Name | Lauren N. Pepper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194055772 PECOS PAC ID: 2860457330 Enrollment ID: I20150328000223 |
| Provider Name | Brad A Wolf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972621696 PECOS PAC ID: 0042275513 Enrollment ID: I20150328000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Health Llc 8335 Ibm Dr, 150, Charlotte, NC 28262-4329 Ph: (704) 549-3005 | Innovation Health Llc 8335 Ibm Dr, 150, Charlotte, NC 28262-4329 Ph: (704) 549-3005 |
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