| Wulfram Cross Enterprises LLC | |
|
1055 Cedar Creek Rd Greeneville TN 37743-2548 | |
| (352) 584-7532 | |
| Not Available |
| Full Name | Wulfram Cross Enterprises LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1055 Cedar Creek Rd, Greeneville, Tennessee |
| Authorized Official Name and Position | Lena Champlin (OWNER) |
| Authorized Official Contact | 3525847532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wulfram Cross Enterprises LLC 1055 Cedar Creek Rd Greeneville TN 37743-2548 | Wulfram Cross Enterprises LLC 1055 Cedar Creek Rd Greeneville TN 37743-2548 Ph: (352) 584-7532 |
| NPI Number | 1285406454 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285406454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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