Provider Demographics
NPI:1982188066
Name:MARGIE J WESLEY LLC DBA FOUR SEASONS WELLNESS & ACUPUNCTURE
Entity Type:Organization
Organization Name:MARGIE J WESLEY LLC DBA FOUR SEASONS WELLNESS & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:423-596-9024
Mailing Address - Street 1:6237 VANCE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2954
Mailing Address - Country:US
Mailing Address - Phone:423-596-9024
Mailing Address - Fax:
Practice Address - Street 1:6237 VANCE RD STE 4
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2954
Practice Address - Country:US
Practice Address - Phone:423-596-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty