Organization
INTEGRATED MEDICAL AND WELLNESS CLINIC OF MISSISSIPPI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F. ROWE (OWNER, AUTHORIZED OFFICIAL)
(228) 248-0561
Entity
Organization
Contact information
Practice address
212 DRAPERTON CT, RIDGELAND, MS 39157-3905
(769) 300-9040
(769) 300-9055
Mailing address
2556 MARCIA CT, BILOXI, MS 39531-2352
(228) 248-0561
(228) 248-0562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/29/2021
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