# UNITED MEDICAL WELLNESS COMPLEX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255045324
- **Authorized official:** MR. KEVIN TAFT WRIGHT (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (601) 940-4195

## Contact information

- **Practice address:** 892 CENTRE ST, RIDGELAND, MS 39157-4509
- **Practice address phone:** (769) 251-2098
- **Practice address fax:** (800) 394-6187
- **Mailing address:** 892 CENTRE ST, RIDGELAND, MS 39157-4509
- **Mailing address phone:** (769) 567-1304
- **Mailing address fax:** (800) 951-3880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 01/12/2023
- **Last updated:** 10/24/2023