# HEALTH CONCEPTS FOR LIFE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Wall Tucker
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710003801
- **Authorized official:** MRS. MARY WALL TUCKER FNP (OWNER)
- **Authorized official phone:** (828) 696-9888

## Contact information

- **Practice address:** 580 UPWARD RD, UNIT 1, FLAT ROCK, NC 28731-8592
- **Practice address phone:** (828) 696-9888
- **Practice address fax:** (828) 696-1947
- **Mailing address:** 580 UPWARD RD, UNIT 1, FLAT ROCK, NC 28731-9477
- **Mailing address phone:** (828) 696-9888
- **Mailing address fax:** (828) 696-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 72955 | NC | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/11/2009