Organization
CLINTON WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO MORAN DPH (OWNER)
(318) 791-3765
Entity
Organization
Contact information
Practice address
322 HIGHWAY 80 E, SUITE D, CLINTON, MS 39056-4726
(318) 791-3765
(877) 747-5326
Mailing address
PO BOX 59294, JACKSON, MS 39284-9294
(318) 791-3765
(877) 747-5326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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