# INSPIRED HEALTH CLINIC

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

## Provider details

- **NPI number:** 1336866615
- **Authorized official:** DR. SHINITA REED DUDLEY MD (OWNER)
- **Authorized official phone:** (601) 213-7681

## Contact information

- **Practice address:** 1016 MISSION 66, VICKSBURG, MS 39183-2752
- **Practice address phone:** (601) 876-7003
- **Mailing address:** PO BOX 550, CLINTON, MS 39060-0550
- **Mailing address phone:** (601) 876-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 01/31/2023