Provider Demographics
NPI:1114389541
Name:WELCH, JO'EL CHERI (MD)
Entity Type:Individual
Prefix:
First Name:JO'EL
Middle Name:CHERI
Last Name:WELCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4864 JACKSON STREET
Mailing Address - Street 2:FAMILY MEDICINE
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71210
Mailing Address - Country:US
Mailing Address - Phone:318-330-7000
Mailing Address - Fax:318-330-7591
Practice Address - Street 1:859 WINTER ST
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-6603
Practice Address - Country:US
Practice Address - Phone:601-947-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA321305207Q00000X
MS27264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine