Country Doc Walk-in &Wellness LLC
Organization Active NPI Clinic/Center · N Stonington, CT
NPI 1124362686 · NPPES record last updated Sep 12, 2014
Key facts
- NPI
- 1124362686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- COUNTRY DOC WALK-IN &WELLNESS LLC
- Practice address
- 391 Norwich Westerly Rd
N Stonington, CT 06359-9992 - Phone
- (860) 535-4600
- Fax
- (860) 535-4605
- NPI assigned
- Nov 21, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Stefana M Pecher
- Title
- Owner
- Phone
- (860) 535-4600
Member of 1
Practitioners 5
-
Marykate Baxter, PA-C
-
B Geoffrey Burnham, PA-C
-
Karen Marie Murphy, PHYSICIAN ASSISTANT
-
Kimberly Tschetter, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
391 Norwich Westerly Rd
N Stonington, CT 06359-9992
Mailing address
PO Box 417
N Stonington, CT 06359-0417
Phone (860) 535-4600
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.