Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Health Service |
261QH0100X |
| NPI Number | 1740045509 |
| LBN Legal business name | CHALMETTE WELLNESS CLINIC LLC |
| Authorized official | KEVIN WORK - (MEDICAL DIRECTOR/PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/20/2024 |
| Last updated | 05/20/2024 - About 2 years ago |
| Identifiers | n/a |
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