| Integrity Health For Wellness | |
|
1914 J N Pease Pl Ste 144 Charlotte NC 28262-4504 | |
| (704) 412-2802 | |
| (336) 203-2092 |
| Full Name | Integrity Health For Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1914 J N Pease Pl Ste 144, Charlotte, North Carolina |
| Authorized Official Name and Position | Elysa C. Graham (OWNER) |
| Authorized Official Contact | 7044122802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health For Wellness 9311 Jw Clay Blvd Charlotte NC 28262-5411 Ph: (704) 412-2802 | Integrity Health For Wellness 1914 J N Pease Pl Ste 144 Charlotte NC 28262-4504 Ph: (704) 412-2802 |
| NPI Number | 1831713528 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 3971926049 |
|---|---|
| Medicare Enrollment ID | O20200708000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831713528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Elysa C Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174989792 PECOS PAC ID: 3577833540 Enrollment ID: I20170724003713 |
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