| Unity Health & Wellness Llc | |
|
107 Tennessee St Bolivar TN 38008-1822 | |
| (731) 212-3196 | |
| (731) 212-3193 |
| Full Name | Unity Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Tennessee St, Bolivar, Tennessee |
| Authorized Official Name and Position | Gregary Coleman Byers (OWNER/PROVIDER) |
| Authorized Official Contact | 7312123196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unity Health & Wellness Llc 107 Tennessee St Bolivar TN 38008-1822 Ph: (731) 212-3196 | Unity Health & Wellness Llc 107 Tennessee St Bolivar TN 38008-1822 Ph: (731) 212-3196 |
| NPI Number | 1609317692 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/13/2017 |
| Medicare PECOS PAC ID | 7719261775 |
|---|---|
| Medicare Enrollment ID | O20170313000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609317692 | NPI | - | NPPES |
| Q010912 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 18850 (Tennessee) | Primary |
| Provider Name | Gregary C Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144636119 PECOS PAC ID: 3870815905 Enrollment ID: I20141201001049 |
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