Clinton Wellness Center Llc

NPI 1124410410 - Family Medicine - 207Q00000X

NPI Details
NPI 1124410410
Enumeration Date 02/24/2015
Last Updated 02/24/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Position OWNER
Phone (318) 791-3765
Fax (877) 747-5326
Practice Location
322 HIGHWAY 80 E
CLINTON MS, 39056-4726, US
Phone (318) 791-3765
Fax (877) 747-5326
Business Location
PO BOX 59294
JACKSON MS, 39284-9294, US
Phone (318) 791-3765
Fax (877) 747-5326
Taxonomy Code 207Q00000X
License State
License Number
Remove 1124410410 NPI Number

According to our database, Clinton Wellness Center Llc NPI is 1124410410, taxonomy code is 207Q00000X Clinton Wellness Center Llc physically located at 322 Highway 80 E, Clinton MS, 39056-4726. NPI Number 1033115704 has the healthcare provider type.

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1124410410 NPI number is provided on an as is basis without warranty of any kind. 1124410410 is maintained by the National Plan & Provider Enumeration System. The contents of Clinton Wellness Center Llc are for informational purposes only.