# WYTHE WELLNESS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295387595
- **Authorized official:** JAMES WADE BOLTON DC, NP (PRESIDENT AND CEO)
- **Authorized official phone:** (931) 284-1362

## Contact information

- **Practice address:** 325 E MAIN ST STE B, WYTHEVILLE, VA 24382-2300
- **Practice address phone:** (931) 284-1362
- **Mailing address:** PO BOX 65, WYTHEVILLE, VA 24382-0065
- **Mailing address phone:** (931) 284-1362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2019
- **Last updated:** 07/16/2019
