Organization
CHALMETTE WELLNESS CLINIC LLC
Active
Organization
CHALMETTE WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN GOVAN WORK MD (MEDICAL DIRECTOR/PHYSICIAN)
(504) 272-0115
Entity
Organization
Contact information
Practice address
1013B W JUDGE PEREZ DR, CHALMETTE, LA 70043-4703
(504) 272-0115
(504) 366-5260
Mailing address
1013B W JUDGE PEREZ DR, CHALMETTE, LA 70043-4703
(504) 272-0115
(504) 366-5260
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
02/20/2024
Last updated
05/20/2024
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