| Woodland Wellness, Inc | |
|
501 N Jackson St Tullahoma TN 37388-3510 | |
| (931) 954-5219 | |
| (931) 999-1454 |
| Full Name | Woodland Wellness, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Jackson St, Tullahoma, Tennessee |
| Authorized Official Name and Position | Dana A Talley (ADMINISTRATOR) |
| Authorized Official Contact | 9314080585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Wellness, Inc 501 N Jackson St Tullahoma TN 37388-3510 Ph: (931) 954-5219 | Woodland Wellness, Inc 501 N Jackson St Tullahoma TN 37388-3510 Ph: (931) 954-5219 |
| NPI Number | 1699545780 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 3678824927 |
|---|---|
| Medicare Enrollment ID | O20240611003287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699545780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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