OrganizationActive
Internal Medicine & Wellness Center PA
NPI 1871558262 · Ph.D. Medical Genetics · Charlotte, NC
Provider details
- NPI number
- 1871558262
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Organization subpart
- No
- Authorized official
- John Woodward, Owner/President(704) 503-6321
Specialties & taxonomies
Other Service Providers
Practice location
10320 Mallard Creek Rd
Charlotte, NC 28262-9756
Phone: (704) 503-1332
Fax: (704) 503-7951
Approximate (ZIP-level) locationGet directions
Mailing address
10320 Mallard Creek Rd Ste 271
Charlotte, NC 28262-5204
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.