Gateway Wellness Center, LLC

NPI #1154551802 in Columbus, Ohio

Provider Information

NPI Number: 1154551802
Entity Type: Organization
Organization Name: Gateway Wellness Center, LLC
Primary Specialty: Specialist
Enumeration Date: Jul 15, 2009
Last Updated: Jul 15, 2009

Practice Location

Address: 112 JEFFERSON AVE
Address 2: SUITE 201
City: Columbus
State: Ohio
ZIP Code: 43215-1861
Phone: (614) 453-1065

Authorized Official

Name: MARK ANTHONY WHITE, MD
Title: PRESIDENT/OWNER
Phone: (614) 453-1065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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