| Mole't Health And Wellness, Pc | |
|
4693 Log Cabin Dr Macon GA 31204-6317 | |
| (478) 444-3737 | |
| Not Available |
| Full Name | Mole't Health And Wellness, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4693 Log Cabin Dr, Macon, Georgia |
| Authorized Official Name and Position | Tamiko Molet (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4784443737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mole't Health And Wellness, Pc 971 High St Macon GA 31201-2034 Ph: (478) 444-3737 | Mole't Health And Wellness, Pc 4693 Log Cabin Dr Macon GA 31204-6317 Ph: (478) 444-3737 |
| NPI Number | 1487376646 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 9830567684 |
|---|---|
| Medicare Enrollment ID | O20221129000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487376646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tamiko Molet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336386986 PECOS PAC ID: 8527216977 Enrollment ID: I20120911000032 |
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