| 360 Wellness & Nutrition, Pa | |
|
1704 Glendale Dr Sw Wilson NC 27893-4678 | |
| (252) 237-1225 | |
| Not Available |
| Full Name | 360 Wellness & Nutrition, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1704 Glendale Dr Sw, Wilson, North Carolina |
| Authorized Official Name and Position | Renu Kasula (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9198523450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Wellness & Nutrition, Pa 1704 S Glendale Avenue Suite A Wilson NC 27893-4678 Ph: (252) 237-1225 | 360 Wellness & Nutrition, Pa 1704 Glendale Dr Sw Wilson NC 27893-4678 Ph: (252) 237-1225 |
| NPI Number | 1316603285 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 04/13/2023 |
| Medicare PECOS PAC ID | 1254722366 |
|---|---|
| Medicare Enrollment ID | O20211228002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316603285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ana A Khoune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982665246 PECOS PAC ID: 7810898442 Enrollment ID: I20040116000756 |
| Provider Name | Thomas Eugene Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598726812 PECOS PAC ID: 5597891572 Enrollment ID: I20100329001067 |
Natalie A. Doyle, M. D., P. A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2806b Wooten Blvd, Wilson, NC 27893 Phone: 252-291-8523 Fax: 252-291-9110 | |
Mdfamily Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Fieldstream Dr N, Wilson, NC 27896 Phone: 704-527-6322 | |
Wilson Dermatology Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 Ward Blvd, Wilson, NC 27893 Phone: 252-291-5600 Fax: 252-291-6935 | |
Eastern Internal Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2635 Tilghman Rd N, Wilson, NC 27896 Phone: 252-991-2067 Fax: 252-991-2068 | |
Wilson Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 Green St E, Wilson, NC 27893 Phone: 252-243-9800 Fax: 252-243-9888 | |
Wilson Family Practice Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4008 Nc Hwy. 42 W., Wilson, NC 27893 Phone: 252-291-2215 Fax: 252-237-2281 | |
Eastern North Carolina Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1812 Glendale Dr Sw, Suite B, Wilson, NC 27893 Phone: 252-291-3100 Fax: 252-243-0599 |