| Henderson Wellness Center, Pa | |
|
414 Dabney Dr Henderson NC 27536-3944 | |
| (252) 430-8000 | |
| (252) 430-8200 |
| Full Name | Henderson Wellness Center, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 414 Dabney Dr, Henderson, North Carolina |
| Authorized Official Name and Position | Dennis Michael Mahan (DOCTOR) |
| Authorized Official Contact | 2524308000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Wellness Center, Pa 414 Dabney Dr Henderson NC 27536-3944 Ph: (252) 430-8000 | Henderson Wellness Center, Pa 414 Dabney Dr Henderson NC 27536-3944 Ph: (252) 430-8000 |
| NPI Number | 1902056948 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Medicare PECOS PAC ID | 9931269909 |
|---|---|
| Medicare Enrollment ID | O20081120000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902056948 | NPI | - | NPPES |
| 8953753 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 25053 (North Carolina) | Primary |
| Provider Name | Dennis Michael Mahan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477550473 PECOS PAC ID: 4082518170 Enrollment ID: I20031124000535 |
| Provider Name | George B Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801889464 PECOS PAC ID: 3476503079 Enrollment ID: I20050201000447 |
| Provider Name | Kayla R. Mchale |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023544913 PECOS PAC ID: 0042620304 Enrollment ID: I20201028000859 |
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