Organization
WYTHE WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WADE BOLTON DC, NP (PRESIDENT AND CEO)
(931) 284-1362
Entity
Organization
Contact information
Practice address
325 E MAIN ST STE B, WYTHEVILLE, VA 24382-2300
(931) 284-1362
Mailing address
PO BOX 65, WYTHEVILLE, VA 24382-0065
(931) 284-1362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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