| Vema Holistic Health Llc | |
|
162 W Main St Lakeland GA 31635-6865 | |
| (229) 262-3707 | |
| Not Available |
| Full Name | Vema Holistic Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 162 W Main St, Lakeland, Georgia |
| Authorized Official Name and Position | Felecia W Brockington (NURSE PRACTITIONER/ADMINISTRATOR) |
| Authorized Official Contact | 2292623707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vema Holistic Health Llc 3338 Country Club Rd Ste L1, Pmb 182 Valdosta GA 31605-1044 Ph: () - | Vema Holistic Health Llc 162 W Main St Lakeland GA 31635-6865 Ph: (229) 262-3707 |
| NPI Number | 1073135034 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 4183020043 |
|---|---|
| Medicare Enrollment ID | O20210901002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073135034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Felecia W Brockington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042988 PECOS PAC ID: 8224393087 Enrollment ID: I20180525001114 |
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