| Physician Wellness Professional Association | |
|
10430 Park Road Suite 100a Charlotte NC 28210 | |
| (704) 259-7933 | |
| (704) 899-5668 |
| Full Name | Physician Wellness Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 10430 Park Road Suite 100a, Charlotte, North Carolina |
| Authorized Official Name and Position | William G Reilly (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8174103800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Wellness Professional Association 1920 East State Highway 114 Southlake TX 76092 Ph: (817) 410-3800 | Physician Wellness Professional Association 10430 Park Road Suite 100a Charlotte NC 28210 Ph: (704) 259-7933 |
| NPI Number | 1871059378 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871059378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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