South Louisiana Wellness Services Llc | |
4266 W Main St Ste 100 Gray LA 70359-6421 | |
(985) 856-7893 | |
(985) 346-6944 |
Full Name | South Louisiana Wellness Services Llc |
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Speciality | General Practice |
Location | 4266 W Main St Ste 100, Gray, Louisiana |
Authorized Official Name and Position | Pamela Dupont (AGENT) |
Authorized Official Contact | 9858567893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Louisiana Wellness Services Llc 4266 W Main St Ste 100 Gray LA 70359-6421 Ph: (985) 856-7893 | South Louisiana Wellness Services Llc 4266 W Main St Ste 100 Gray LA 70359-6421 Ph: (985) 856-7893 |
NPI Number | 1700257615 |
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Provider Enumeration Date | 10/19/2015 |
Last Update Date | 10/19/2015 |
Identifier | Type | State | Issuer |
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1700257615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |