Whalio Doctors

NPI 1932648367

Reconnect Wellness Laurel, LLC

Organisation Preferred Provider Organization Laurel, MS

Practice location

Address
910 Sawmill Rd STE D29, Laurel, MS 39440-3961
Phone
(601) 342-5948
Mailing address
PO Box 3667, Tupelo, MS 38803-3667

Authorised official

Name
Douglas M Wright
Title
Managing Member Reconnect Outpatien
Phone
(662) 680-3148

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI
1932648367
Entity type
Organization
NPI issued
17 Feb 2017
Record last updated
17 Feb 2017

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.