| Stat Wellness Center, Pllc | |
|
1225 Hampshire Pike Columbia TN 38401-4615 | |
| (931) 982-6333 | |
| Not Available |
| Full Name | Stat Wellness Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1225 Hampshire Pike, Columbia, Tennessee |
| Authorized Official Name and Position | Amy Harris (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 9319826333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat Wellness Center, Pllc 1225 Hampshire Pike Columbia TN 38401-4615 Ph: (931) 982-6333 | Stat Wellness Center, Pllc 1225 Hampshire Pike Columbia TN 38401-4615 Ph: (931) 982-6333 |
| NPI Number | 1033671003 |
|---|---|
| Provider Enumeration Date | 04/01/2019 |
| Last Update Date | 04/01/2019 |
| Medicare PECOS PAC ID | 1355684887 |
|---|---|
| Medicare Enrollment ID | O20190523001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033671003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amy N Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396256160 PECOS PAC ID: 8820334584 Enrollment ID: I20190116004154 |
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