Wholistictelehealth

NPI #1396325924 in Theodore, Alabama

Provider Information

NPI Number: 1396325924
Entity Type: Organization
Organization Name: Wholistictelehealth
Primary Specialty: Family Medicine
Enumeration Date: Apr 8, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 7272 THEODORE DAWES RD STE B
City: Theodore
State: Alabama
ZIP Code: 36582-4136
Phone: (251) 607-6653

Authorized Official

Name: MRS. SUSAN MARIE GILLISPIE, FNP
Title: PROVIDER
Phone: (251) 607-6653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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