| Infinite Wellness Of The Carolinas | |
|
2160 Commerce Dr Ste B Monroe NC 28110-2839 | |
| (704) 282-9300 | |
| Not Available |
| Full Name | Infinite Wellness Of The Carolinas |
|---|---|
| Speciality | Internal Medicine |
| Location | 2160 Commerce Dr Ste B, Monroe, North Carolina |
| Authorized Official Name and Position | Tamara H Lockhart (BILLING) |
| Authorized Official Contact | 7044536335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellness Of The Carolinas 103 Country Club Dr Ne Concord NC 28025-2935 Ph: (704) 792-2200 | Infinite Wellness Of The Carolinas 2160 Commerce Dr Ste B Monroe NC 28110-2839 Ph: (704) 282-9300 |
| NPI Number | 1902150832 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 02/15/2025 |
| Certification Date | 02/15/2025 |
| Medicare PECOS PAC ID | 2466605662 |
|---|---|
| Medicare Enrollment ID | O20130122000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902150832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tamara H Lockhart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760430292 PECOS PAC ID: 7113025396 Enrollment ID: I20090331000630 |
| Provider Name | Todd Lockhart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053369587 PECOS PAC ID: 1759489933 Enrollment ID: I20101202000518 |
| Provider Name | Donnielle Lynn Green |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20121102000115 |
| Provider Name | Tina L Gerhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659781755 PECOS PAC ID: 8628396298 Enrollment ID: I20160307002005 |
| Provider Name | Nacole H Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932974 PECOS PAC ID: 8729495130 Enrollment ID: I20210401000379 |
| Provider Name | Michael J Pease |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558791681 PECOS PAC ID: 6709009327 Enrollment ID: I20210423001153 |
| Provider Name | Benjamin Drach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659057404 PECOS PAC ID: 2860934304 Enrollment ID: I20240612000112 |
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