Clinton Wellness Center Llc | |
703 Highway 80 W Ste A Clinton MS 39056-4107 | |
(601) 488-6187 | |
(601) 878-2011 |
Full Name | Clinton Wellness Center Llc |
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Speciality | Family Medicine |
Location | 703 Highway 80 W Ste A, Clinton, Mississippi |
Authorized Official Name and Position | Tricia B Duncan (MEDICAL BILLER) |
Authorized Official Contact | 6018786945 |
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 1338 Clinton MS 39060-1338 Ph: (601) 488-6187 | Clinton Wellness Center Llc 703 Highway 80 W Ste A Clinton MS 39056-4107 Ph: (601) 488-6187 |
NPI Number | 1386826279 |
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Provider Enumeration Date | 12/03/2007 |
Last Update Date | 01/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386826279 | NPI | - | NPPES |
07033864 | Medicaid | MS | |
587159423I | Other | MS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18239 (Mississippi) | Primary |
Clinton Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Highway 80 E, Suite D, Clinton, MS 39056 Phone: 318-791-3765 Fax: 877-747-5326 | |
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 | |