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Organization
B&W MEDICAL SOLUTIONS LLC
Active
Organization
B&W MEDICAL SOLUTIONS LLC
Active
Other names
Southern Lux and Metabolic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY E BLAKE NP-C (NURSE PRACTITIONER)
(719) 661-6033
Entity
Organization
Contact information
Practice address
3332 W MAIN ST STE 2, DOTHAN, AL 36305-1019
(719) 661-6033
Mailing address
3332 W MAIN ST STE 2, DOTHAN, AL 36305-1019
(334) 246-2577
(949) 561-5764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
10/12/2021
Last updated
03/05/2025
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