Tima Wellness Pa

LBN: Tima Wellness Pa
Tima Wellness Pa is an health care organization with primary practice located at 1591 Yanceyville Street Suite 200A, Greensboro NC 27405-6941. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tima Wellness Pa can be contacted via phone (336) 907-3006, or through Gladden, Byron via phone (336) 907-3006.

Contact Information

Primary practice address
1591 Yanceyville Street Suite 200A Greensboro NC 27405-6941
Phone: (336) 907-3006
Fax: (336) 663-8421
Website:
Map and Directions
Authorized official contact:
Name: Gladden, Byron
Phone: (336) 907-3006

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 95-01417 North Carolina

Profile Details

NPI number 1609260942
LBN Legal business name Tima Wellness Pa
DBA Doing business as
Authorized official Gladden, Byron
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2015
Last updated Nov 30th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609260942 NPPES
North Carolina MEDICAID 8975633

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