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NPI Code Detail

MEDICARE: ONE LIFE WELLNESS AND PRIMARY CARE, INC.

MEDICARE: ONE LIFE WELLNESS AND PRIMARY CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1225543259
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE LIFE WELLNESS AND PRIMARY CARE, INC.
Provider Business Mailing Address
First Line : 901 E BEEBE CAPPS EXPY
Second Line :
City : SEARCY
State : AR
Zip : 72143-6865
Country : US
Telephone Number : 501-203-0801
Fax Number : 501-203-0802
Provider Business Practice Location Address
First Line : 901 E BEEBE CAPPS EXPY
Second Line :
City : SEARCY
State : AR
Zip : 72143-6865
Country : US
Telephone Number : 501-203-0801
Fax Number : 501-203-0802
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH DUGGER
Credential : MD
Telephone Number : 501-230-0419
Provider Enumeration Date : 12/13/2017
Last Update Date : 01/20/2021

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Directions to “ONE LIFE WELLNESS AND PRIMARY CARE, INC. ” Practice Location

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