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Organization
COMPREHENSIVE WELLNESS CENTER LLC
Active
Organization
COMPREHENSIVE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER W RUCKER (OWNER)
(423) 389-8000
Entity
Organization
Contact information
Practice address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37312-4101
(423) 389-8000
Mailing address
2535 GEORGETOWN RD NW, CLEVELAND, TN 37312-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28924
TN
Other
Enumeration date
01/18/2012
Last updated
01/27/2012
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