| Healthwise 360 Llc | |
|
8 Stonebridge Blvd Ste M Jackson TN 38305-2178 | |
| (731) 267-2836 | |
| Not Available |
| Full Name | Healthwise 360 Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8 Stonebridge Blvd Ste M, Jackson, Tennessee |
| Authorized Official Name and Position | Kristie Gutgsell (OWNER/OPERATOR) |
| Authorized Official Contact | 7317364300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthwise 360 Llc 617 Bolen Ave Henderson TN 38340-1521 Ph: () - | Healthwise 360 Llc 8 Stonebridge Blvd Ste M Jackson TN 38305-2178 Ph: (731) 267-2836 |
| NPI Number | 1376084814 |
|---|---|
| Provider Enumeration Date | 03/16/2017 |
| Last Update Date | 09/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376084814 | NPI | - | NPPES |
| Q027339 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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