Organization
INSPIRED HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHINITA REED DUDLEY MD (OWNER)
(601) 213-7681
Entity
Organization
Contact information
Practice address
1016 MISSION 66, VICKSBURG, MS 39183-2752
(601) 876-7003
Mailing address
PO BOX 550, CLINTON, MS 39060-0550
(601) 876-7003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
10/26/2022
Last updated
01/31/2023
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