Wellness & Clinical Solutions Llc | |
1413 W Quitman St Iuka MS 38852-1130 | |
(662) 424-9550 | |
Not Available |
Full Name | Wellness & Clinical Solutions Llc |
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Speciality | Family Medicine |
Location | 1413 W Quitman St, Iuka, Mississippi |
Authorized Official Name and Position | Timothy Griffin (OWNER) |
Authorized Official Contact | 6622790599 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness & Clinical Solutions Llc 1413 W Quitman St Iuka MS 38852-1130 Ph: (662) 424-9550 | Wellness & Clinical Solutions Llc 1413 W Quitman St Iuka MS 38852-1130 Ph: (662) 424-9550 |
NPI Number | 1184485070 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 01/18/2024 |
Medicare PECOS PAC ID | 1557706835 |
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Medicare Enrollment ID | O20240226003967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184485070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas Draper |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1144363987 PECOS PAC ID: 0547270001 Enrollment ID: I20060427000422 |
Provider Name | Sarah Rebekah Christian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225705072 PECOS PAC ID: 0941691711 Enrollment ID: I20220105001606 |
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