Organization
UNITED MEDICAL WELLNESS COMPLEX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN TAFT WRIGHT (CHIEF EXECUTIVE OFFICER)
(601) 940-4195
Entity
Organization
Contact information
Practice address
892 CENTRE ST, RIDGELAND, MS 39157-4509
(769) 251-2098
(800) 394-6187
Mailing address
892 CENTRE ST, RIDGELAND, MS 39157-4509
(769) 567-1304
(800) 951-3880
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
01/12/2023
Last updated
10/24/2023
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