| Wellness Clinic, P.c. | |
|
5740 Getwell Rd Bldg 4c Southaven MS 38672-6346 | |
| (662) 892-5000 | |
| (662) 892-5002 |
| Full Name | Wellness Clinic, P.c. |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 5740 Getwell Rd, Southaven, Mississippi |
| Authorized Official Name and Position | Savira V Sidhu (PRESIDENT) |
| Authorized Official Contact | 6628925000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Clinic, P.c. Po Box 2024 Olive Branch MS 38654-2209 Ph: (662) 892-5000 | Wellness Clinic, P.c. 5740 Getwell Rd Bldg 4c Southaven MS 38672-6346 Ph: (662) 892-5000 |
| NPI Number | 1386860898 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386860898 | NPI | - | NPPES |
| 3725205 | Medicaid | TN | |
| F95674 | Medicaid | MS | |
| 00120361 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | MD000025744 (Tennessee) | Primary |
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