Provider Demographics
NPI:1235759895
Name:HEALTH AND WELLNESS PRIMARY CARE LLC
Entity Type:Organization
Organization Name:HEALTH AND WELLNESS PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NEKEY
Authorized Official - Middle Name:CHIFFON
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-601-2007
Mailing Address - Street 1:1303 SUNSET CIR
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-1575
Mailing Address - Country:US
Mailing Address - Phone:912-601-2007
Mailing Address - Fax:
Practice Address - Street 1:1303 SUNSET CIR
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-1575
Practice Address - Country:US
Practice Address - Phone:912-601-5030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-23
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty