Provider Demographics
NPI:1861905820
Name:WELLNESS OFFICE PC
Entity type:Organization
Organization Name:WELLNESS OFFICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:QURATULAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-690-5052
Mailing Address - Street 1:400 WHITESPORT DR SW STE 104
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6429
Mailing Address - Country:US
Mailing Address - Phone:256-690-5052
Mailing Address - Fax:256-467-8528
Practice Address - Street 1:400 WHITESPORT DR SW STE 104
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6429
Practice Address - Country:US
Practice Address - Phone:256-690-5052
Practice Address - Fax:256-467-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty