| Family Wellness Clinic Llc | |
|
1234 David Dr Ste 103 Morgan City LA 70380-1369 | |
| (985) 221-4436 | |
| (985) 221-4567 |
| Full Name | Family Wellness Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1234 David Dr Ste 103, Morgan City, Louisiana |
| Authorized Official Name and Position | Nicole Marie Perry (OWNER) |
| Authorized Official Contact | 9857149087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Clinic Llc 1234 David Dr Ste 103 Morgan City LA 70380-1369 Ph: (985) 221-4436 | Family Wellness Clinic Llc 1234 David Dr Ste 103 Morgan City LA 70380-1369 Ph: (985) 221-4436 |
| NPI Number | 1902684293 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 8325496722 |
|---|---|
| Medicare Enrollment ID | O20231125000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902684293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole M Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245829407 PECOS PAC ID: 6800203878 Enrollment ID: I20210319000315 |
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