| D & L Wellness Inc | |
|
154 Carriage House Dr. Jackson TN 38305 | |
| (731) 513-1798 | |
| Not Available |
| Full Name | D & L Wellness Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 154 Carriage House Dr., Jackson, Tennessee |
| Authorized Official Name and Position | William Lawrence Sparks (OWNER) |
| Authorized Official Contact | 7315131798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D & L Wellness Inc 154 Carriage House Drive Jackson TN 38305 Ph: (731) 513-1798 | D & L Wellness Inc 154 Carriage House Dr. Jackson TN 38305 Ph: (731) 513-1798 |
| NPI Number | 1619421567 |
|---|---|
| Provider Enumeration Date | 08/09/2016 |
| Last Update Date | 08/09/2016 |
| Medicare PECOS PAC ID | 5890030597 |
|---|---|
| Medicare Enrollment ID | O20181228001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619421567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Pamela D Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396712535 PECOS PAC ID: 1355242124 Enrollment ID: I20040115000327 |
| Provider Name | Alice R Mckee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689662777 PECOS PAC ID: 1254233299 Enrollment ID: I20051205000198 |
| Provider Name | John B Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861452849 PECOS PAC ID: 9739186347 Enrollment ID: I20061024000391 |
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