NPI 1639957889 · live from the CMS NPI Registry
Access Direct Primary Care, PLLC
Internal Medicine in Charlotte, NC. National Provider Identifier 1639957889, active.
NPI record
| NPI | 1639957889 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 6225 Blakeney Park Dr Ste B, Charlotte, NC 28277 |
| Practice phone | 248-587-6037 |
| Enumerated | September 19, 2023 |
| Last updated | October 2, 2023 |
| Authorized official | Yenny Vander Waerden, Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.