# RIVER CITY PRIMARY CARE AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1669231676
- **Authorized official:** YOLANDA LONG NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (251) 554-6288

## Contact information

- **Practice address:** 3702 JEFFERSON AVE, PASCAGOULA, MS 39563-6218
- **Practice address phone:** (228) 205-4592
- **Practice address fax:** (228) 205-4593
- **Mailing address:** 3702 JEFFERSON AVE, MOSS POINT, MS 39563-6218
- **Mailing address phone:** (228) 205-4592
- **Mailing address fax:** (228) 205-4593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024