PHYSICIAN WELLNESS PROFESSIONAL ASSOCIATION

CHARLOTTE, NC
NPI1871059378
Entity TypeOrganization
Authorized ContactWILLIAM G REILLY
Authorized Official
817-410-3800
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2019-02-20
Last Update Date2019-02-20
Business Address
PHYSICIAN WELLNESS PROFESSIONAL ASSOCIATION
10430 PARK ROAD SUITE 100A
CHARLOTTE, NC 28210
Phone number: 704-259-7933
Mailing Address
PHYSICIAN WELLNESS PROFESSIONAL ASSOCIATION
1920 EAST STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Phone number: 817-410-3800
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