NPI 1366014540 · live from the CMS NPI Registry
Abundant Health & Vitality Associates PLLC
Internal Medicine, Bariatric Medicine in Charlotte, NC. National Provider Identifier 1366014540, active.
NPI record
| NPI | 1366014540 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Bariatric Medicine 207RB0002X |
| Practice location | 5970 Fairview Rd Ste 700, Charlotte, NC 28210 |
| Practice phone | 704-997-6661 |
| Enumerated | July 15, 2021 |
| Last updated | January 8, 2023 |
| Authorized official | Melody Covington, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Bariatric Medicine primary | 207RB0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.