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South Louisiana Wellness Services Llc
General Practice Physician in Gray, Louisiana
NPI 1700257615

South Louisiana Wellness Services Llc is a General Practice Physician based in Gray, LA. South Louisiana Wellness Services Llc practices in Gray, LA. The NPI Number for South Louisiana Wellness Services Llc is 1700257615 and holds a License No. (Louisiana).

The current practice location address for South Louisiana Wellness Services Llc is 4266 W Main St Ste 100, Gray, LA and can be reached out via phone at 985-856-7893 and via fax at 985-346-6944.

Location: 4266 W Main St Ste 100, Gray, LA, 70359-6421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700257615
Provider Name
South Louisiana Wellness Services Llc
Credential
Provider Entity Type
Organization
Address
4266 W Main St Ste 100, Gray, LA, 70359-6421
Phone Number
985-856-7893
Fax Number
985-346-6944
Provider Enumeration Date
10/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4266 W Main St Ste 100
City
Gray
State
Louisiana
Zip
70359-6421
Phone Number
985-856-7893
Fax Number
985-346-6944
person
Provider Business Mailing Address Details
Address
4266 W Main St Ste 100
City
Gray
State
Louisiana
Zip
70359-6421
Phone Number
985-856-7893
Fax Number
985-346-6944
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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