| Pathways To Wellness Llc | |
|
65 Germantown Ct Ste 207 Cordova TN 38018-4258 | |
| (901) 878-3332 | |
| (901) 350-7790 |
| Full Name | Pathways To Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 Germantown Ct Ste 207, Cordova, Tennessee |
| Authorized Official Name and Position | John Pearson Redmond (CEO) |
| Authorized Official Contact | 9018700258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Wellness Llc 65 Germantown Ct Ste 207 Cordova TN 38018-4258 Ph: (901) 878-3332 | Pathways To Wellness Llc 65 Germantown Ct Ste 207 Cordova TN 38018-4258 Ph: (901) 878-3332 |
| NPI Number | 1043083942 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 8224481148 |
|---|---|
| Medicare Enrollment ID | O20240126003422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043083942 | NPI | - | NPPES |
| Provider Name | John Pearson Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417554361 PECOS PAC ID: 9234543521 Enrollment ID: I20210127003422 |
| Provider Name | Charlene Kelley Sparrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868099 PECOS PAC ID: 0042538241 Enrollment ID: I20240229000498 |
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