| Etteilla Wellness Services Pllc | |
|
200 Cedarpost Dr Cary NC 27513-8316 | |
| (576) 476-2775 | |
| Not Available |
| Full Name | Etteilla Wellness Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Cedarpost Dr, Cary, North Carolina |
| Authorized Official Name and Position | Shirley Mcdowell (OWNER) |
| Authorized Official Contact | 5164762775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Etteilla Wellness Services Pllc 200 Cedarpost Dr Cary NC 27513-8316 Ph: (576) 476-2775 | Etteilla Wellness Services Pllc 200 Cedarpost Dr Cary NC 27513-8316 Ph: (576) 476-2775 |
| NPI Number | 1528646262 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 1153730577 |
|---|---|
| Medicare Enrollment ID | O20210514000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528646262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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