Organization
COMPLETE WELLNESS, INC.
Active
Parent organization
COMPLETE WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMPLETE WELLNESS
Authorized official
WILLIAM DURWOOD WHITTEN PHD (PRESIDENT)
(443) 438-7863
Entity
Organization
Contact information
Practice address
10 W MADISON ST STE 11, BALTIMORE, MD 21201-2313
(443) 438-7863
(443) 957-9485
Mailing address
10 W MADISON ST STE 11, BALTIMORE, MD 21201-2313
(443) 438-7863
(443) 957-9485
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX3730
MD
133V00000X
Registered Dietitian
Primary
DX3730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123174000
—
MD
Enumeration date
10/06/2017
Last updated
10/06/2017
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