| Medical Wellness And Nutrition Center Of Ms | |
|
1 Layfair Dr Suite 100 Flowood MS 39232-9717 | |
| (601) 939-4008 | |
| (601) 939-4010 |
| Full Name | Medical Wellness And Nutrition Center Of Ms |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Layfair Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Kevin M Young (OWNER) |
| Authorized Official Contact | 6019394008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Wellness And Nutrition Center Of Ms 1 Layfair Dr Suite 100 Flowood MS 39232-9717 Ph: (601) 939-4008 | Medical Wellness And Nutrition Center Of Ms 1 Layfair Dr Suite 100 Flowood MS 39232-9717 Ph: (601) 939-4008 |
| NPI Number | 1891972022 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 08/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891972022 | NPI | - | NPPES |
| DO4168 | Other | MEDICARE RR | |
| 03136371 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19643 (Mississippi) | Primary |
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