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Organization
LIVE WELL MEDICAL CLINIC & SPA
Active
Organization
LIVE WELL MEDICAL CLINIC & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON FNP-BC (OWNER)
(931) 839-6642
Entity
Organization
Contact information
Practice address
117 W COMMERCIAL AVE, MONTEREY, TN 38574-1107
(931) 839-6642
(931) 839-6643
Mailing address
117 W COMMERCIAL AVE, MONTEREY, TN 38574-1107
(931) 839-6642
(931) 839-6643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
09/22/2014
Last updated
06/17/2026
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