| Wellness Poole Llc | |
|
211 S Main St Abbeville LA 70510-5907 | |
| (337) 516-1770 | |
| (337) 516-1887 |
| Full Name | Wellness Poole Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 S Main St, Abbeville, Louisiana |
| Authorized Official Name and Position | Kala Duhon (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3374226746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Poole Llc 211 S Main St Abbeville LA 70510-5907 Ph: (337) 516-1770 | Wellness Poole Llc 211 S Main St Abbeville LA 70510-5907 Ph: (337) 516-1770 |
| NPI Number | 1073364071 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 05/05/2025 |
| Medicare PECOS PAC ID | 4385189117 |
|---|---|
| Medicare Enrollment ID | O20240716003565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073364071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Danielle Fontenot Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811435688 PECOS PAC ID: 6002185188 Enrollment ID: I20170705001736 |
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