Provider Demographics
NPI:1013382597
Name:HEALTH AND WELLNESS SERVICES PLLC
Entity Type:Organization
Organization Name:HEALTH AND WELLNESS SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-909-7954
Mailing Address - Street 1:715 E 5TH ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3001
Mailing Address - Country:US
Mailing Address - Phone:704-909-7954
Mailing Address - Fax:
Practice Address - Street 1:715 E 5TH ST
Practice Address - Street 2:SUITE 214
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-3001
Practice Address - Country:US
Practice Address - Phone:704-909-7954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4252261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care