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1104580943
INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
RIDGELAND, MS
NPI
1104580943
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Entity Type
Organization
Authorized Contact
DAVID F. ROWE
Owner, Authorized Official
228-248-0561
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-10-27
Last Update Date
2021-10-29
Business Address
INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
212 DRAPERTON CT
RIDGELAND, MS 39157-3905
Phone number: 769-300-9040
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Mailing Address
INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
2556 MARCIA CT
BILOXI, MS 39531-2352
Phone number: 228-248-0561
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