| Medical Wellness Clinic | |
|
79 Academy St Ste D Marion NC 28752-3901 | |
| (828) 659-9355 | |
| (828) 659-6334 |
| Full Name | Medical Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 79 Academy St Ste D, Marion, North Carolina |
| Authorized Official Name and Position | Alison Louise Sprouse-tucker (PROVIDER) |
| Authorized Official Contact | 8286599355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Wellness Clinic 79 Academy St Marion NC 28752-3901 Ph: (828) 659-9355 | Medical Wellness Clinic 79 Academy St Ste D Marion NC 28752-3901 Ph: (828) 659-9355 |
| NPI Number | 1528525359 |
|---|---|
| Provider Enumeration Date | 02/28/2019 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 2567701576 |
|---|---|
| Medicare Enrollment ID | O20230923000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528525359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alison Sprouse Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437119971 PECOS PAC ID: 9739122342 Enrollment ID: I20050606000208 |
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