Organization
SOUTHERN HEALTH & WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE THOMAS BOLING APRN (OWNER)
(731) 784-5080
Entity
Organization
Contact information
Practice address
3519 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 414-9051
Mailing address
3519 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
08/24/2021
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