| Wellness Within | |
|
2202 25th Ave Ste B Gulfport MS 39501-4520 | |
| (228) 206-6843 | |
| (228) 206-6843 |
| Full Name | Wellness Within |
|---|---|
| Speciality | Internal Medicine |
| Location | 2202 25th Ave Ste B, Gulfport, Mississippi |
| Authorized Official Name and Position | Liana Rodriguez (PHYSICIAN & OWNER) |
| Authorized Official Contact | 2282066843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Within Po Box 253 Gulfport MS 39502-0253 Ph: (228) 206-6843 | Wellness Within 2202 25th Ave Ste B Gulfport MS 39501-4520 Ph: (228) 206-6843 |
| NPI Number | 1598294514 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598294514 | NPI | - | NPPES |
| 05351053 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23342 (Mississippi) | Primary |
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