| Foreveryoung Wellness | |
|
5816 Kingston Pike Ste 1 Knoxville TN 37919-6341 | |
| (865) 444-2130 | |
| Not Available |
| Full Name | Foreveryoung Wellness |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5816 Kingston Pike Ste 1, Knoxville, Tennessee |
| Authorized Official Name and Position | Jackie Zgiet (CEO) |
| Authorized Official Contact | 8654442130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foreveryoung Wellness 5816 Kingston Pike Ste 1 Knoxville TN 37919-6341 Ph: (865) 444-2130 | Foreveryoung Wellness 5816 Kingston Pike Ste 1 Knoxville TN 37919-6341 Ph: (865) 444-2130 |
| NPI Number | 1013469725 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013469725 | NPI | - | NPPES |
| 1730461666 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 16115 (Tennessee) | Primary |
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