SEA GATE WELLNESS LLC NPI 1033717780

NPI Information

SEA GATE WELLNESS LLC is a clinic center in Johnson City, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SEA GATE WELLNESS LLC NPI is 1033717780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2020 INDIAN RIDGE RD APT 206
JOHNSON CITY, TN
ZIP 37604-299
Phone: (727) 593-4149

The provider's authorized official is Xiujiao Li .
The authorized official title is Manager and has the following contact phone number (423) 930-5205.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 10/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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