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Organization

MERIDIAN WELLNESS CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA YVONNE PACWA DC (OWNER)
(931) 338-2077
Entity
Organization

Contact information

Practice address
1531 HUNT CLUB BLVD, SUITE 306, GALLATIN, TN 37066-6095
(615) 989-7037
(615) 989-7038
Mailing address
1531 HUNT CLUB BLVD, SUITE 306, GALLATIN, TN 37066-6095
(615) 989-7037
(615) 989-7038

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1524
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841200300
INDIVIDUAL NPI
TN
Enumeration date
01/22/2014
Last updated
03/31/2014
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