Preventative Wellness Solutions III PLLC
Family Medicine, Bariatric Medicine in Chapel Hill, NC. Organization (NPI-2).
NPI number1003553785
StatusActive
Last updated in NPPESMay 31, 2022
Details
- NPI
- 1003553785
- Entity type
- Organization (NPI-2)
- Legal business name
- Preventative Wellness Solutions III PLLC
- Organization subpart
- No
- Enumeration date
- May 16, 2022
- Certification date
- May 31, 2022
- Last updated
- May 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QB0002X | Family Medicine, Bariatric Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
112 Perkins Dr Ste 300Chapel Hill, NC 27514-1786
Phone 919-364-3344 · Fax 919-364-0137
Mailing address
509 S Hyde Park AveTampa, FL 33606-2266
Phone 813-228-6334
Authorized official
Stacey Heald
Mgr
8132286334
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