Organization
INCEPTIVIA HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OSBORNE NP (MEMBER)
(256) 558-5480
Entity
Organization
Contact information
Practice address
420 4TH ST NW, ATTALLA, AL 35954-2227
(256) 558-5480
(256) 376-8102
Mailing address
1126 MCVILLE RD, BOAZ, AL 35957-6029
(256) 558-5480
(256) 376-8102
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
08/24/2023
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