| Clinton Wellness Center Llc | |
|
322 Highway 80 E Suite D Clinton MS 39056-4726 | |
| (318) 791-3765 | |
| (877) 747-5326 |
| Full Name | Clinton Wellness Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 322 Highway 80 E, Clinton, Mississippi |
| Authorized Official Name and Position | Marco Moran (OWNER) |
| Authorized Official Contact | 3187913765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Wellness Center Llc Po Box 59294 Jackson MS 39284-9294 Ph: (318) 791-3765 | Clinton Wellness Center Llc 322 Highway 80 E Suite D Clinton MS 39056-4726 Ph: (318) 791-3765 |
| NPI Number | 1124410410 |
|---|---|
| Provider Enumeration Date | 02/24/2015 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124410410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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