Organization
FAMILY WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE PERRY NP (OWNER)
(985) 714-9087
Entity
Organization
Contact information
Practice address
1234 DAVID DR STE 103, MORGAN CITY, LA 70380-1369
(985) 221-4436
(985) 221-4567
Mailing address
1234 DAVID DR STE 103, MORGAN CITY, LA 70380-1369
(985) 221-4436
(985) 221-4567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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