NPI 1174387880
Total Wellness Lifestyle Medicine
Practice location
- Address
- 30 Sandstone Cir, Jackson, TN 38305-2073
- Phone
- (731) 217-6313
Authorised official
- Name
- Shavetta Conner
- Title
- Physician
- Phone
- (731) 217-6313
Registered specialties
Public Health & General Preventive Medicine Physician
Primary
Registry record
- NPI
- 1174387880
- Entity type
- Organization
- NPI issued
- 13 Feb 2024
- Record last updated
- 13 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.