Organization
SUPREME WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA GARRIS LPN (OWNER)
(704) 294-5100
Entity
Organization
Contact information
Practice address
148 E MORGAN ST STE B, WADESBORO, NC 28170-2202
(704) 695-0694
(704) 695-0695
Mailing address
148 E MORGAN ST STE B, WADESBORO, NC 28170-2202
(704) 695-0694
(704) 695-0695
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/10/2021
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