| Personalized Wellness | |
|
573 Highway 51 Ste D Ridgeland MS 39157-2605 | |
| (601) 955-1804 | |
| Not Available |
| Full Name | Personalized Wellness |
|---|---|
| Speciality | General Practice |
| Location | 573 Highway 51 Ste D, Ridgeland, Mississippi |
| Authorized Official Name and Position | Donald R Bonner (OWNER) |
| Authorized Official Contact | 6019551804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Wellness 573 Highway 51 Ste D Ridgeland MS 39157-2605 Ph: (601) 955-1804 | Personalized Wellness 573 Highway 51 Ste D Ridgeland MS 39157-2605 Ph: (601) 955-1804 |
| NPI Number | 1942740188 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942740188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 13234 (Mississippi) | Primary |
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