| Abundant Life Total Wellness Llc | |
|
4200 Regent St Columbus OH 43219-6229 | |
| (877) 868-8777 | |
| (740) 365-1105 |
| Full Name | Abundant Life Total Wellness Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4200 Regent St, Columbus, Ohio |
| Authorized Official Name and Position | Sybil D Wise (FOUNDER) |
| Authorized Official Contact | 6145923010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Total Wellness Llc 2581 Colts Neck Rd Blacklick OH 43004-9649 Ph: (614) 592-3010 | Abundant Life Total Wellness Llc 4200 Regent St Columbus OH 43219-6229 Ph: (877) 868-8777 |
| NPI Number | 1801669478 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801669478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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