Nashville Wellness Clinic & Medi-Spa PA
Family Medicine in Nashville, NC. Organization (NPI-2).
NPI number1508293192
StatusActive
Last updated in NPPESSep 27, 2013
Details
- NPI
- 1508293192
- Entity type
- Organization (NPI-2)
- Legal business name
- Nashville Wellness Clinic & Medi-Spa PA
- Organization subpart
- No
- Enumeration date
- Sep 27, 2013
- Last updated
- Sep 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 31627 | NC | Yes |
Practice location
117 W Church StNashville, NC 27856-1327
Phone 252-459-5544 · Fax 252-459-9300
Mailing address
117 W Church StNashville, NC 27856-1327
Phone 252-459-5544 · Fax 252-459-9300
Authorized official
Donald Alan Ribeiro
Owner
2527472089
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