| Nc Preventative Medicine And Wellness Clinic, Pllc | |
|
7940 Williams Pond Ln Suite 150 Charlotte NC 28277-8766 | |
| (704) 752-7779 | |
| (704) 752-7775 |
| Full Name | Nc Preventative Medicine And Wellness Clinic, Pllc |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 7940 Williams Pond Ln, Charlotte, North Carolina |
| Authorized Official Name and Position | Kathryn Ann Shaw (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 7047527779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Preventative Medicine And Wellness Clinic, Pllc 7940 Williams Pond Ln Suite 150 Charlotte NC 28277-8766 Ph: (704) 752-7779 | Nc Preventative Medicine And Wellness Clinic, Pllc 7940 Williams Pond Ln Suite 150 Charlotte NC 28277-8766 Ph: (704) 752-7779 |
| NPI Number | 1376976878 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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