Organization · Type 2 NPI

Bright Diamond Medical Spa and Wellness, PLLC

Medical Specialty Clinic/Center · Charlotte, NC

NPI number 1629945779 Active

Practice location

11121 Carmel Commons Blvd Ste 100
Charlotte, NC 28226-3925

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1629945779

Bright Diamond Medical Spa and Wellness, PLLC's National Provider Identifier is 1629945779, issued on Oct 22, 2025. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Charlotte, NC. The record was last updated on Oct 22, 2025.