Organization
BONNELL HEALTH AND WELLNESS
Active
Parent organization
FUTURA MEDICAL CLINIC
Other names
Bonnell Health and Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUTURA MEDICAL CLINIC
Authorized official
DARCE LATSIS (OPERATIONS MANAGER)
(615) 588-0880
Entity
Organization
Contact information
Practice address
19 BONNELL LANE, SUITE A, CARTHAGE, TN 38030
(618) 588-0880
(615) 588-0881
Mailing address
560 S 300 E STE 275, SALT LAKE CITY, UT 84111-3586
(801) 441-1002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
01/30/2020
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