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Organization
DE MORGAN WELLNESS GROUP
Active
Organization
DE MORGAN WELLNESS GROUP
Active
Other names
THE DEMORGAN WELLNESS GROUP, LLC, The De Morgan Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY MARIE ANDERSON FNP (OWNER)
(937) 247-6360
Entity
Organization
Contact information
Practice address
7271 N MAIN ST STE 2, DAYTON, OH 45415-2561
(937) 609-0566
(937) 991-0089
Mailing address
7271 N MAIN ST STE 2, DAYTON, OH 45415-2561
(937) 991-0082
(937) 771-0836
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
COA07003NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871685792
INDIVIDUAL NPI
OH
01
—
1881132660
NPI
OH
05
—
2388901
—
OH
Enumeration date
02/01/2017
Last updated
03/17/2024
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