Clinton Wellness Center LLC

NPI #1124410410 in Clinton, Mississippi

Provider Information

NPI Number: 1124410410
Entity Type: Organization
Organization Name: Clinton Wellness Center LLC
Primary Specialty: Family Medicine
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 322 HIGHWAY 80 E
Address 2: SUITE D
City: Clinton
State: Mississippi
ZIP Code: 39056-4726
Phone: (318) 791-3765

Authorized Official

Name: DR. MARCO MORAN, DPH
Title: OWNER
Phone: (318) 791-3765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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