Provider Demographics
NPI:1447025226
Name:ESSENCE OF HEALTH WELLNESS CLINIC
Entity type:Organization
Organization Name:ESSENCE OF HEALTH WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMBS-WITHERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:423-805-2245
Mailing Address - Street 1:752 E MLK STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2903
Mailing Address - Country:US
Mailing Address - Phone:423-805-2245
Mailing Address - Fax:423-845-9602
Practice Address - Street 1:752 E MLK STE 102
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2903
Practice Address - Country:US
Practice Address - Phone:423-805-2245
Practice Address - Fax:423-845-9602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty