| Holistic Health And Wellness Pa | |
|
325 South Main Street Sparta NC 28675 | |
| (336) 372-1666 | |
| Not Available |
| Full Name | Holistic Health And Wellness Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 South Main Street, Sparta, North Carolina |
| Authorized Official Name and Position | Todd A Smith (PRESIDENT) |
| Authorized Official Contact | 3363721666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Health And Wellness Pa Po Box 1827 Sparta NC 28675-1827 Ph: () - | Holistic Health And Wellness Pa 325 South Main Street Sparta NC 28675 Ph: (336) 372-1666 |
| NPI Number | 1093152761 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 06/04/2013 |
| Medicare PECOS PAC ID | 9638311707 |
|---|---|
| Medicare Enrollment ID | O20130820000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093152761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1643 (North Carolina) | Primary |
| Provider Name | Todd A Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821078338 PECOS PAC ID: 9830082452 Enrollment ID: I20081001000332 |
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