| Health Wellness Promotion Llc | |
|
115 W Madison St Bolton MS 39041-3209 | |
| (601) 866-7723 | |
| (601) 866-7773 |
| Full Name | Health Wellness Promotion Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 115 W Madison St, Bolton, Mississippi |
| Authorized Official Name and Position | Amy Monett-shamon Thomas (FNP-C/OWNER) |
| Authorized Official Contact | 6018667723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Wellness Promotion Llc Po Box 360 Bolton MS 39041-0360 Ph: (601) 866-7723 | Health Wellness Promotion Llc 115 W Madison St Bolton MS 39041-3209 Ph: (601) 866-7723 |
| NPI Number | 1811370216 |
|---|---|
| Provider Enumeration Date | 07/02/2015 |
| Last Update Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811370216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R869143 (Mississippi) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | R869143 (Mississippi) | Primary |
Central Mississippi Civic Improvement Association, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9700 I 20 Frontage Rd, Bolton, MS 39041 Phone: 601-866-2522 |