Optimal Wellness LLC
NPI #1063916195 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1063916195
- Entity Type
- Organization
- Organization Name
- Optimal Wellness LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 22, 2018
- Last Updated
- Mar 22, 2018
Practice Location
- Address
- 745 OLIVE STREET
- Address 2
- SUITE 109
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71104
- Phone
- (318) 716-1200
Authorized Official
- Name
- MRS. SREEDEVI YERRAPRAGADA, M.D.
- Title
- OFFICER/MANAGER
- Phone
- (318) 716-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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