Organization
FIBROLIVING LLC
Active
Other names
Integrative Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK B WOOD M.D. (PRESIDENT AND CLINICIAN)
(601) 856-9866
Entity
Organization
Contact information
Practice address
742 MAGNOLIA ST, SUITE D, MADISON, MS 39110-8903
(601) 856-9866
(601) 856-9824
Mailing address
742 MAGNOLIA ST, SUITE D, MADISON, MS 39110-8903
(601) 856-9866
(601) 856-9824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21791
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528086915
PROVIDER PERSONAL NPI
—
Enumeration date
09/03/2014
Last updated
09/03/2014
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