Neurology Wellness, PLLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

2006-01910 Issued in NC

Legal business name

NEUROLOGY WELLNESS, PLLC

Practice address

10508 Park Rd
Ste 130
Charlotte, NC 28210-8525

Phone

(704) 541-9117

Fax

(704) 541-9197

NPI assigned

Apr 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jean-Ronel Corbier, M.D.

Title

Owner

Phone

(704) 541-9117

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1073932885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 PARK RD",
            "address_2": "STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108525",
            "telephone_number": "704-541-9117",
            "fax_number": "704-541-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 PARK RD",
            "address_2": "STE 130",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108525",
            "telephone_number": "704-541-9117",
            "fax_number": "704-541-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CORBIER",
        "authorized_official_first_name": "JEAN-RONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-541-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NC",
            "license": "2006-01910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905648",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Neurology with Special Qualifications in Child Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.