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 |
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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 |
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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 |
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Provider Enumeration Date | 02/24/2015 |
Last Update Date | 02/24/2015 |
Identifier | Type | State | Issuer |
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1124410410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4000 | |