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Contact Information

FUNCTIONAL MEDICINE 1 PLLC
111 DAVE WARLICK DR
LINCOLNTON, NC28092-4411
 Phone: 704-240-8133
 Fax: 866-493-3890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
Indicates primary specialty

NPI Profile & details for FUNCTIONAL MEDICINE 1 PLLC · (Female)

NPI Number 1164284964
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2024
Last updated 03/21/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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