Organization
NASHVILLE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PAYNE (EXECUTIVE DIRECTOR)
(770) 560-6336
Entity
Organization
Contact information
Practice address
1037 JEFFERSON ST STE B, NASHVILLE, TN 37208-2554
(770) 560-6336
Mailing address
1037 JEFFERSON ST STE B, NASHVILLE, TN 37208-2554
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/27/2022
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