| NPI | 1316604515 |
|---|---|
| Doing Business As | LIFE WELL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | PHILIP BLAKE MUSICK Owner/Authorized Official 276-591-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-10-24 |