Organization
PREMIER WELLNESS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERMANAND S. J. BEEHARILAL MD (OWNER)
(225) 286-4360
Entity
Organization
Contact information
Practice address
4444 GROOM RD, BAKER, LA 70714-3045
(225) 774-9134
(225) 774-9136
Mailing address
4727 W PARK DR, SUITE B, ZACHARY, LA 70791-4090
(225) 286-4360
(225) 286-4363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203580
LA
Other
Enumeration date
10/02/2014
Last updated
08/14/2015
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