| Tug Valley Wellness Center, Llc | |
|
50 Lenore Business Mall Williamson WV 25661-9199 | |
| (304) 236-3601 | |
| Not Available |
| Full Name | Tug Valley Wellness Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 50 Lenore Business Mall, Williamson, West Virginia |
| Authorized Official Name and Position | Tonya Chafin (PRACTICE OWNER) |
| Authorized Official Contact | 3042363601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tug Valley Wellness Center, Llc 50 Lenore Business Mall Williamson WV 25661-9199 Ph: () - | Tug Valley Wellness Center, Llc 50 Lenore Business Mall Williamson WV 25661-9199 Ph: (304) 236-3601 |
| NPI Number | 1659993350 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 10/13/2020 |
| Medicare PECOS PAC ID | 5496165383 |
|---|---|
| Medicare Enrollment ID | O20201104001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659993350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonya Lynn Chafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043663669 PECOS PAC ID: 5991091464 Enrollment ID: I20160908002880 |
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