| Wellmed- Wellness & Primary Care | |
|
203 5th Ave S Amory MS 38821-4216 | |
| (662) 825-0987 | |
| Not Available |
| Full Name | Wellmed- Wellness & Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 203 5th Ave S, Amory, Mississippi |
| Authorized Official Name and Position | Stephanie Brooke Reeves (OWNER) |
| Authorized Official Contact | 6628250987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmed- Wellness & Primary Care 905 9th Ave N Amory MS 38821-1908 Ph: (662) 825-0987 | Wellmed- Wellness & Primary Care 203 5th Ave S Amory MS 38821-4216 Ph: (662) 825-0987 |
| NPI Number | 1619710696 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 6709322654 |
|---|---|
| Medicare Enrollment ID | O20240726002869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619710696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Stephanie Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508335878 PECOS PAC ID: 8820412265 Enrollment ID: I20200720000399 |
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