Provider Demographics
NPI:1881010825
Name:PRO RIGHT LINE CORP
Entity Type:Organization
Organization Name:PRO RIGHT LINE CORP
Other - Org Name:WELLNESS EXPRESS PGX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-428-1396
Mailing Address - Street 1:111 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:TN
Mailing Address - Zip Code:38474-1209
Mailing Address - Country:US
Mailing Address - Phone:800-737-4518
Mailing Address - Fax:800-737-4518
Practice Address - Street 1:111 2ND AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:TN
Practice Address - Zip Code:38474-1209
Practice Address - Country:US
Practice Address - Phone:800-737-4518
Practice Address - Fax:800-737-4518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service