Healthcare Provider Details

I. General information

NPI: 1225688690
Provider Name (Legal Business Name): INNER PEACE ACUPUNCTURE & WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 09/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 KENILWORTH AVE STE 204
CHARLOTTE NC
28204-3873
US

IV. Provider business mailing address

741 KENILWORTH AVE STE 204
CHARLOTTE NC
28204-3873
US

V. Phone/Fax

Practice location:
  • Phone: 704-307-7821
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: ADRIENNE WEI-DREHMEL
Title or Position: OWNER
Credential: MSOM
Phone: 704-915-1719