| True Wellness Medical | |
|
6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 | |
| (423) 475-6438 | |
| Not Available |
| Full Name | True Wellness Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 6102 Shallowford Rd Ste 103, Chattanooga, Tennessee |
| Authorized Official Name and Position | Brandi Vatt (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Contact | 4232069947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Wellness Medical 6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 Ph: (423) 475-6438 | True Wellness Medical 6102 Shallowford Rd Ste 103 Chattanooga TN 37421-1684 Ph: (423) 475-6438 |
| NPI Number | 1417470501 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 8729481262 |
|---|---|
| Medicare Enrollment ID | O20210721003956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417470501 | NPI | - | NPPES |
| 1578126249 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD0000055440 (Tennessee) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jakob Taylor |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093007007 PECOS PAC ID: 6709042963 Enrollment ID: I20120717000299 |
| Provider Name | Bency Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386985257 PECOS PAC ID: 1456647338 Enrollment ID: I20160831002504 |
| Provider Name | Paula Leann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758828 PECOS PAC ID: 7214331081 Enrollment ID: I20210802002936 |
| Provider Name | Savannah Sterchi Medearis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578126249 PECOS PAC ID: 0446658124 Enrollment ID: I20211011001340 |
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