Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 28 days before observation
Type 2 organization · NPI 1003732793
SOUTHERN WELLNESS
208D00000X · NEW ROADS, LA
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 208D00000X | 208D00000X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 1 recorded field change
- 0 recorded field change s