| NPI | 1326777384 |
|---|---|
| Doing Business As | MG WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DONALDSON Fnp C 225-806-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-07-07 |