Organization
DAVIS UNLIMITED HEALTHCARE SERVICES, PLLC
Active
Other names
A Brand New Me Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
NORA GOUGH-DAVIS DNP (CEO)
(662) 545-2421
Entity
Organization
Contact information
Practice address
1148 OLD HIGHWAY 61 STE 100, CLEVELAND, MS 38732-9735
(662) 545-2421
(662) 200-5908
Mailing address
1148 OLD HIGHWAY 61 STE 100, CLEVELAND, MS 38732-9735
(662) 545-2421
(662) 200-5908
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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