# WILKES ENTERPRISES HEALING PLACE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Place Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114150174
- **Authorized official:** GRETA WILKES MD (PHYSICIAN)
- **Authorized official phone:** (225) 658-2036

## Contact information

- **Practice address:** 6110 MAIN ST, SUITE A, ZACHARY, LA 70791-4033
- **Practice address phone:** (225) 658-2036
- **Practice address fax:** (225) 658-9788
- **Mailing address:** PO BOX 887, ZACHARY, LA 70791-0887
- **Mailing address phone:** (225) 658-2036
- **Mailing address fax:** (225) 658-9788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009
