CLINTON WELLNESS CENTER LLC

JACKSON, MS
NPI1710231576
Entity TypeOrganization
Authorized ContactSHINITA REED DUDLEY
Physician
601-714-8180
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  18239)
Enumeration Date2012-11-01
Last Update Date2012-11-01
Business Address
CLINTON WELLNESS CENTER LLC
514 E WOODROW WILSON AVE SUITE C
JACKSON, MS 39216-4538
Phone number: 601-714-8180
Mailing Address
CLINTON WELLNESS CENTER LLC
514 E WOODROW WILSON AVE SUITE C
JACKSON, MS 39216-4538
Phone number: 601-714-8180
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