Provider Demographics
NPI:1376274571
Name:WHOLE HEART MED, PLLC
Entity type:Organization
Organization Name:WHOLE HEART MED, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FULBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:828-606-1955
Mailing Address - Street 1:4 LONG SHOALS RD
Mailing Address - Street 2:STE B143
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-5544
Mailing Address - Country:US
Mailing Address - Phone:828-606-1955
Mailing Address - Fax:828-676-1445
Practice Address - Street 1:4 LONG SHOALS RD
Practice Address - Street 2:STE B143
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-5544
Practice Address - Country:US
Practice Address - Phone:828-606-1955
Practice Address - Fax:828-676-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center