| Physician Assisted Wellness, Pllc | |
|
112 Swift Ave Durham NC 27705-4883 | |
| (336) 543-0566 | |
| Not Available |
| Full Name | Physician Assisted Wellness, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Swift Ave, Durham, North Carolina |
| Authorized Official Name and Position | Jonathan Lee Sheline (FOUNDER, DIRECTOR) |
| Authorized Official Contact | 3365430566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Assisted Wellness, Pllc Po Box 61473 Durham NC 27715-1473 Ph: (336) 543-0566 | Physician Assisted Wellness, Pllc 112 Swift Ave Durham NC 27705-4883 Ph: (336) 543-0566 |
| NPI Number | 1326587361 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 02/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326587361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29199 (North Carolina) | Primary |
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