National Provider Identifier Database

CENTERWELL SENIOR PRIMARY CARE NC JV PC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

CENTERWELL SENIOR PRIMARY CARE NC JV PC
8727 JW CLAY BLVD
CHARLOTTE, NC28262-5417
Phone: 980-999-1831
Fax: 877-536-8312
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Family Medicine 207Q00000X
General Practice 208D00000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for CENTERWELL SENIOR PRIMARY CARE NC JV PC

NPI Number 1366181943
Legal business name
LBN
CENTERWELL SENIOR PRIMARY CARE NC JV PC
Authorized official ANGIE MARTINEZ - (SENIOR CREDENTIALING PROFESSIONAL)
Entity Organization
Organization subpart Yes
Enumeration date 06/01/2022
Last updated 02/11/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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