| NPI | 1891972022 |
|---|---|
| Doing Business As | MEDICAL WELLNESS AND NUTRITION CENTER OF MS |
| Entity Type | Organization |
| Authorized Contact | KEVIN M YOUNG Owner 601-939-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 19643) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2009-08-20 |