Fourth Tree Wellness Pllc | |
1800 Carlisle Rd Camp Hill PA 17011-5909 | |
(717) 695-6104 | |
(717) 297-6441 |
Full Name | Fourth Tree Wellness Pllc |
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Speciality | Internal Medicine - Obesity Medicine |
Location | 1800 Carlisle Rd, Camp Hill, Pennsylvania |
Authorized Official Name and Position | Daniel Kenneth Hodge (MANAGING MEMBER, OWNER) |
Authorized Official Contact | 7176956104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fourth Tree Wellness Pllc 1800 Carlisle Rd Camp Hill PA 17011-5909 Ph: (717) 695-6104 | Fourth Tree Wellness Pllc 1800 Carlisle Rd Camp Hill PA 17011-5909 Ph: (717) 695-6104 |
NPI Number | 1851900328 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 07/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851900328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Primary |
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