| United Medical Wellness Complex, LLC | |
|
892 Centre St Ridgeland MS 39157-4509 | |
| (769) 251-2098 | |
| (800) 394-6187 |
| Full Name | United Medical Wellness Complex, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 892 Centre St, Ridgeland, Mississippi |
| Authorized Official Name and Position | Kevin Taft Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6019404195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Medical Wellness Complex, LLC 892 Centre St Ridgeland MS 39157-4509 Ph: (769) 567-1304 | United Medical Wellness Complex, LLC 892 Centre St Ridgeland MS 39157-4509 Ph: (769) 251-2098 |
| NPI Number | 1255045324 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255045324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 405300000X | Prevention Professional | (NU) | Secondary |
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