# FIBROLIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Health Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184024663
- **Authorized official:** DR. PATRICK B WOOD M.D. (PRESIDENT AND CLINICIAN)
- **Authorized official phone:** (601) 856-9866

## Contact information

- **Practice address:** 742 MAGNOLIA ST, SUITE D, MADISON, MS 39110-8903
- **Practice address phone:** (601) 856-9866
- **Practice address fax:** (601) 856-9824
- **Mailing address:** 742 MAGNOLIA ST, SUITE D, MADISON, MS 39110-8903
- **Mailing address phone:** (601) 856-9866
- **Mailing address fax:** (601) 856-9824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 21791 | MS | Yes |

## Other

- **Enumeration date:** 09/03/2014
- **Last updated:** 09/03/2014