Illuminate Wellness Center | |
1936 Brookside Dr Ste E Kingsport TN 37660-4654 | |
(423) 765-0777 | |
Not Available |
Full Name | Illuminate Wellness Center |
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Speciality | Nurse Anesthetist, Certified Registered |
Location | 1936 Brookside Dr Ste E, Kingsport, Tennessee |
Authorized Official Name and Position | Shelia Beasley (CO-OWNER/ PRESIDENT) |
Authorized Official Contact | 4237650777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illuminate Wellness Center 1936 Brookside Dr Ste E Kingsport TN 37660-4654 Ph: (423) 765-0777 | Illuminate Wellness Center 1936 Brookside Dr Ste E Kingsport TN 37660-4654 Ph: (423) 765-0777 |
NPI Number | 1649833062 |
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Provider Enumeration Date | 04/22/2019 |
Last Update Date | 03/03/2021 |
Certification Date | 03/03/2021 |
Identifier | Type | State | Issuer |
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1649833062 | NPI | - | NPPES |
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