# WHOLISTICTELEHEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wholistic Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396325924
- **Authorized official:** MRS. SUSAN MARIE GILLISPIE FNP (PROVIDER)
- **Authorized official phone:** (251) 607-6653

## Contact information

- **Practice address:** 7272 THEODORE DAWES RD STE B, THEODORE, AL 36582-4136
- **Practice address phone:** (251) 607-6653
- **Practice address fax:** (251) 607-6656
- **Mailing address:** 7272 THEODORE DAWES RD STE B, THEODORE, AL 36582-4136
- **Mailing address phone:** (251) 607-6653
- **Mailing address fax:** (251) 607-6656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 04/26/2021