Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Wellness Professional Association

Organization Internal Medicine Physician · NPI 1871059378

Physician Wellness Professional Association is an Internal Medicine Physician in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

10430 Park Rd Ste 100A
Charlotte, NC 28210
Phone: (704) 259-7933
Fax: (704) 899-5668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1871059378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Reilly — Authorized Official · (817) 410-3800
NPI enumeratedFebruary 20, 2019
Last updated in NPPESFebruary 20, 2019
Mailing address1920 East State Highway 114, Southlake, TX 76092

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