Provider Demographics
NPI:1457834004
Name:WELLNESS CONCEPTS, P.C.
Entity Type:Organization
Organization Name:WELLNESS CONCEPTS, P.C.
Other - Org Name:BRIO FUNCTIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:423-541-1371
Mailing Address - Street 1:PO BOX 4895
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-0895
Mailing Address - Country:US
Mailing Address - Phone:423-541-1371
Mailing Address - Fax:
Practice Address - Street 1:309 N MARKET ST STE C
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3908
Practice Address - Country:US
Practice Address - Phone:423-541-1371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty