Clinton Wellness Center LLC
NPI #1710231576 in Jackson, Mississippi
Provider Information
- NPI Number
- 1710231576
- Entity Type
- Organization
- Organization Name
- Clinton Wellness Center LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 1, 2012
- Last Updated
- Nov 1, 2012
Practice Location
- Address
- 514 E WOODROW WILSON AVE
- Address 2
- SUITE C
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4538
- Phone
- (601) 714-8180
Authorized Official
- Name
- DR. SHINITA REED DUDLEY, M.D
- Title
- PHYSICIAN
- Phone
- (601) 714-8180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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