| NPI | 1073050951 |
|---|---|
| Doing Business As | HWV FAMILY PRACTICE , PLLC |
| Former Legal Business Name | HEALTH AND WELLNESS AT THE VILLAGE, PLLC |
| Entity Type | Organization |
| Authorized Contact | DERESSA LEE MARSHALL Owner/Ap RN 731-326-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2019-07-26 |