Family Wellness Clinic LLC
NPI #1457544066 in Port Gibson, Mississippi
Provider Information
- NPI Number
- 1457544066
- Entity Type
- Organization
- Organization Name
- Family Wellness Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Jul 9, 2021
Practice Location
- Address
- 703B FARMER ST
- City
- Port Gibson
- State
- Mississippi
- ZIP Code
- 39150-2319
- Phone
- (601) 437-5668
Authorized Official
- Name
- DR. TANYA S ANDERSON, M.D.
- Title
- MEMBER
- Phone
- (601) 437-5668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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