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Organization
PROLIFIC HEALTH & WELLNESS PA
Active
Organization
PROLIFIC HEALTH & WELLNESS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MCCULLOUGH SMASH MD (FOUNDER)
(769) 257-0586
Entity
Organization
Contact information
Practice address
2675 RIVER RIDGE DR, JACKSON, MS 39216-5012
(769) 257-0586
Mailing address
605 CHICKASAW DR N, FLOWOOD, MS 39232-8680
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/23/2017
Last updated
01/03/2018
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