| Abide Health & Wellness Llc | |
|
3113 Wesley Way Ste 2 Dothan AL 36305-2004 | |
| (334) 203-4145 | |
| (334) 245-0335 |
| Full Name | Abide Health & Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3113 Wesley Way Ste 2, Dothan, Alabama |
| Authorized Official Name and Position | Juanita Titrud Heersink (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2058076482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abide Health & Wellness Llc 3113 Wesley Way Ste 2 Dothan AL 36305-2004 Ph: (334) 203-4145 | Abide Health & Wellness Llc 3113 Wesley Way Ste 2 Dothan AL 36305-2004 Ph: (334) 203-4145 |
| NPI Number | 1144905985 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 5991154502 |
|---|---|
| Medicare Enrollment ID | O20231207003404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144905985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Juanita T Heersink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659661874 PECOS PAC ID: 5698912293 Enrollment ID: I20151109001514 |
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