| Vyve Wellness Wendover Pllc | |
|
441 N Wendover Rd Charlotte NC 28211-1064 | |
| (704) 362-3305 | |
| Not Available |
| Full Name | Vyve Wellness Wendover Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 441 N Wendover Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | William Christian Haas (CHIEF MEDIAL OFFICER) |
| Authorized Official Contact | 8287120102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vyve Wellness Wendover Pllc 1800 Truman Rd Charlotte NC 28205-3741 Ph: (828) 712-0102 | Vyve Wellness Wendover Pllc 441 N Wendover Rd Charlotte NC 28211-1064 Ph: (704) 362-3305 |
| NPI Number | 1235715145 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 04/09/2021 |
| Medicare PECOS PAC ID | 9830546787 |
|---|---|
| Medicare Enrollment ID | O20231114002319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235715145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William C Haas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821357856 PECOS PAC ID: 8628384732 Enrollment ID: I20200530000182 |
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