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Organization
RIVER CITY PRIMARY CARE AND WELLNESS CENTER
Active
Organization
RIVER CITY PRIMARY CARE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA LONG NURSE PRACTITIONER (OWNER)
(251) 554-6288
Entity
Organization
Contact information
Practice address
3702 JEFFERSON AVE, PASCAGOULA, MS 39563-6218
(228) 205-4592
(228) 205-4593
Mailing address
3702 JEFFERSON AVE, MOSS POINT, MS 39563-6218
(228) 205-4592
(228) 205-4593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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