NPI | 1306168398 |
---|---|
Doing Business As | AETNA WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | STEPHANIE LARSON Billing Office Manager 615-468-6538 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |