| Be Well Mississippi, LLC | |
|
1723 University Ave Ste B Oxford MS 38655-4109 | |
| (662) 290-9091 | |
| (877) 550-1363 |
| Full Name | Be Well Mississippi, LLC |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 1723 University Ave Ste B, Oxford, Mississippi |
| Authorized Official Name and Position | Antone Nichols (MEMBER) |
| Authorized Official Contact | 6622909091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Mississippi, LLC 1723 University Ave Sute B Box 315 Oxford MS 38655-4725 Ph: (662) 290-9091 | Be Well Mississippi, LLC 1723 University Ave Ste B Oxford MS 38655-4109 Ph: (662) 290-9091 |
| NPI Number | 1518670850 |
|---|---|
| Provider Enumeration Date | 01/02/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518670850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (NU) | Primary |
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