| Compassionate Wellness Center, Llc | |
|
44 N Potomac St Ste 101&102 Hagerstown MD 21740-4855 | |
| (240) 513-6001 | |
| (240) 513-6122 |
| Full Name | Compassionate Wellness Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 44 N Potomac St Ste 101&102, Hagerstown, Maryland |
| Authorized Official Name and Position | Ivan Ngang Zama (PRESIDENT) |
| Authorized Official Contact | 2405136001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Wellness Center, Llc 10319 Westlake Dr Ste 335 Bethesda MD 20817-6403 Ph: (240) 513-6001 | Compassionate Wellness Center, Llc 44 N Potomac St Ste 101&102 Hagerstown MD 21740-4855 Ph: (240) 513-6001 |
| NPI Number | 1871088682 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871088682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D70102 (Maryland) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | D70102 (Maryland) | Secondary |
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