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Organization

SHASTA MEADOWS WELLNESS CENTER

Active
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Organization

SHASTA MEADOWS WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES ROSS TAGGART MD (OWNER)
(530) 244-5353
Entity
Organization

Contact information

Practice address
1555 EAST ST STE 210, REDDING, CA 96001-1153
(415) 713-6654
Mailing address
1555 EAST ST STE 210, REDDING, CA 96001-1153
(415) 713-6654

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
—
—

Other

Enumeration date
01/26/2022
Last updated
11/07/2022
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