Organization
COMMUNITY WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA D MERCHANT FNP (NURSE PRACTITIONER)
(601) 669-7357
Entity
Organization
Contact information
Practice address
332 E MONTICELLO ST, BROOKHAVEN, MS 39601-3430
(601) 669-7357
Mailing address
332 E MONTICELLO ST, BROOKHAVEN, MS 39601-3430
(601) 669-7357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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