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Organization
HEALTHWISE WELLNESS LLC
Active
Organization
HEALTHWISE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOCHI AMAGWULA MD (OWNER)
(870) 454-4354
Entity
Organization
Contact information
Practice address
4014 OLD WARREN RD, PINE BLUFF, AR 71603-6110
(870) 454-4354
(870) 390-4781
Mailing address
4014 OLD WARREN RD, PINE BLUFF, AR 71603-6110
(870) 454-4354
(870) 390-4781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
NULL
207VX0000X
Obstetrics Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
07/11/2021
Last updated
07/20/2021
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