Organization
VEMA HOLISTIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELECIA W BROCKINGTON NP-BC (NURSE PRACTITIONER/ADMINISTRATOR)
(229) 262-3707
Entity
Organization
Contact information
Practice address
162 W MAIN ST, LAKELAND, GA 31635-6865
(229) 262-3707
Mailing address
3338 COUNTRY CLUB RD, STE L1, PMB 182, VALDOSTA, GA 31605-1044
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/13/2020
Last updated
07/20/2022
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