MEDICARE: NEW DAY WELLNESS CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22582	SC

General Provider Information

NPI Number	:	1629251335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAY WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	12312 COPPER WAY STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4856
Country	:	US
Telephone Number	:	704-697-1116
Fax Number	:	704-697-1117

Provider Business Practice Location Address
First Line	:	12312 COPPER WAY STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-4856
Country	:	US
Telephone Number	:	704-697-1116
Fax Number	:	803-285-7509

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	TODD DAY
Credential	:
Telephone Number	:	704-697-1116

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	03/05/2026

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