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Organization

HEALTHY HABITS WELLNESS CTR, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON M MILLER DO (PRESIDENT)
(304) 752-4594
Entity
Organization

Contact information

Practice address
140 STOLLINGS AVE, LOGAN, WV 25601-4011
(304) 752-4594
(304) 752-5629
Mailing address
140 STOLLINGS AVE STE 3, LOGAN, WV 25601-4035
(304) 752-4594
(304) 752-5629

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
785374
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810002671
WV
Enumeration date
05/17/2006
Last updated
07/08/2010
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