Fibroliving LLC

NPI #1184024663 in Madison, Mississippi

Provider Information

NPI Number: 1184024663
Entity Type: Organization
Organization Name: Fibroliving LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 3, 2014
Last Updated: Sep 3, 2014

Practice Location

Address: 742 MAGNOLIA ST
Address 2: SUITE D
City: Madison
State: Mississippi
ZIP Code: 39110-8903
Phone: (601) 856-9866

Authorized Official

Name: DR. PATRICK B WOOD, M.D.
Title: PRESIDENT AND CLINICIAN
Phone: (601) 856-9866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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