Organization
TOTAL WELLNESS LIFESTYLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAVETTA CONNER MD (PHYSICIAN)
(731) 217-6313
Entity
Organization
Contact information
Practice address
30 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 217-6313
Mailing address
30 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 217-6313
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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