| NPI | 1194404459 |
|---|---|
| Doing Business As | A BRAND NEW ME WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | NORA GOUGH-DAVIS CEO 662-545-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |