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NPI 1629620950

OrganizationActive

Bonnell Health and Wellness

NPI 1629620950 · Clinic/Center · Carthage, TN

Provider details

NPI number: 1629620950
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Futura Medical Clinic
Authorized official: Darce Latsis, Operations Manager

Practice location

19 Bonnell Lane

Suite a

Carthage, TN 38030

Phone: (618) 588-0880

Fax: (615) 588-0881

More TN providers

Mailing address

560 S 300 E Ste 275

Salt Lake City, UT 84111-3586

Registry dates

Enumerated: 2019-07-16
Last updated: 2020-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bonnell Health and Wellness — NPI 1629620950, Carthage, TN | NPI Central