| Neurology Wellness, Pllc | |
|
10508 Park Rd Ste 130 Charlotte NC 28210-8525 | |
| (704) 541-9117 | |
| (704) 541-9197 |
| Full Name | Neurology Wellness, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 10508 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Jean-ronel Corbier (OWNER) |
| Authorized Official Contact | 7045419117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Wellness, Pllc 10508 Park Rd Ste 130 Charlotte NC 28210-8525 Ph: (704) 541-9117 | Neurology Wellness, Pllc 10508 Park Rd Ste 130 Charlotte NC 28210-8525 Ph: (704) 541-9117 |
| NPI Number | 1073932885 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073932885 | NPI | - | NPPES |
| 5905648 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 2006-01910 (North Carolina) | Primary |
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