NEW HORIZONS WELLNESS CENTER NPI 1184621120

NPI Information

NEW HORIZONS WELLNESS CENTER is a primary care clinic center in Enterprise, AL. NEW HORIZONS WELLNESS CENTER NPI is 1184621120. The provider is registered as an organization entity type.

The provider's business location address is:

1018 RUCKER BLVD STE A
ENTERPRISE, AL
ZIP 36330-688
Phone: (334) 347-4343
Fax: (334) 393-9611

The provider's authorized official is Mark B Ellis .
The authorized official title is Physician and has the following contact phone number (334) 347-4343.

The enumeration date for this NPI number is 7/6/2005 and was last updated on 3/27/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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