Healthcare Provider Details
I. General information
NPI: 1144720525
Provider Name (Legal Business Name): WELLNESS BY DESIGN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2018
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
216 N MORGAN ST
SHELBY NC
28150-4431
US
IV. Provider business mailing address
216 N MORGAN ST
SHELBY NC
28150-4431
US
V. Phone/Fax
- Phone: 980-436-6462
- Fax:
- Phone: 980-436-6462
- Fax: 828-624-0866
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICTOR
ZUNIGA
Title or Position: OWNER
Credential: MD
Phone: 980-436-6462