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Organization
JM WELLNESS, LLC
Active
Organization
JM WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY MAYO PHD, RD (OWNER)
(501) 733-6575
Entity
Organization
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 733-6575
Mailing address
1060 APPLEWOOD DR, CONWAY, AR 72034-3538
(501) 733-6575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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