Healthcare Provider Details

I. General information

NPI: 1598680399
Provider Name (Legal Business Name): SUTTON WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 CEDAR BRANCH RD
CAMDEN NC
27921-9400
US

IV. Provider business mailing address

116 CEDAR BRANCH RD
CAMDEN NC
27921-9400
US

V. Phone/Fax

Practice location:
  • Phone: 252-507-8907
  • Fax:
Mailing address:
  • Phone: 252-507-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERNEST M SUTTON SR.
Title or Position: DIRECTOR OF BUSINESS DEVELOPMENT
Credential: SUTTON
Phone: 252-507-8907