Organization
ACOUSTIC WAVE TREATMENT CENTER OF MS LLC
Active
Other names
Innovative Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L HOLT (CEO)
(601) 944-5585
Entity
Organization
Contact information
Practice address
230 TRACE COLONY PARK DR STE 1, RIDGELAND, MS 39157-8851
(601) 944-5585
Mailing address
230 TRACE COLONY PARK DR STE 1, RIDGELAND, MS 39157-8851
(601) 944-5585
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
09/23/2022
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