Provider Demographics
NPI:1033554829
Name:WELL RISK SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WELL RISK SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GANTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-366-1451
Mailing Address - Street 1:8049 CORPORATE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-4468
Mailing Address - Country:US
Mailing Address - Phone:704-366-1451
Mailing Address - Fax:704-365-5918
Practice Address - Street 1:8049 CORPORATE CENTER DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4468
Practice Address - Country:US
Practice Address - Phone:704-366-1451
Practice Address - Fax:704-365-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty