Provider Demographics
NPI:1790436228
Name:THE HEALTH AND WELLNESS CENTER OF LUMBERTON, PLLC
Entity Type:Organization
Organization Name:THE HEALTH AND WELLNESS CENTER OF LUMBERTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:910-593-6267
Mailing Address - Street 1:581 FARRINGDOM ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2614
Mailing Address - Country:US
Mailing Address - Phone:910-593-6267
Mailing Address - Fax:888-494-2306
Practice Address - Street 1:581 FARRINGDOM ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2614
Practice Address - Country:US
Practice Address - Phone:910-593-6267
Practice Address - Fax:888-494-2306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty