| NPI | 1821862657 |
|---|---|
| Doing Business As | WELLADVANTAGE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TARA DENISE SCOTT Implementation Manager 423-618-9913 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |