Organization
NEW HORIZONS WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B ELLIS D.O. (PHYSICIAN)
(334) 347-4343
Entity
Organization
Contact information
Practice address
1018 RUCKER BLVD STE A, ENTERPRISE, AL 36330-3688
(334) 347-4343
(334) 393-9611
Mailing address
300 N EDWARDS ST, ENTERPRISE, AL 36330-2508
(334) 347-4343
(334) 393-9611
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918990
—
AL
Enumeration date
07/06/2005
Last updated
03/27/2018
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