# ETTEILLA WELLNESS SERVICES PLLC

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

## Provider details

- **NPI number:** 1528646262
- **Authorized official:** SHIRLEY MCDOWELL (OWNER)
- **Authorized official phone:** (516) 476-2775

## Contact information

- **Practice address:** 200 CEDARPOST DR, CARY, NC 27513-8316
- **Practice address phone:** (576) 476-2775
- **Mailing address:** 200 CEDARPOST DR, CARY, NC 27513-8316
- **Mailing address phone:** (576) 476-2775

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/01/2021