Organization
GREATER TOMORROW WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FAIRCHILD PA-C (COO)
(937) 725-5754
Entity
Organization
Contact information
Practice address
1097 W LOCUST ST, WILMINGTON, OH 45177
(937) 556-6083
Mailing address
1097 W LOCUST ST, WILMINGTON, OH 45177-2006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.0034
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346514973
—
OH
05
—
1386037554
—
OH
Enumeration date
02/15/2018
Last updated
06/13/2018
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