Organization
RECONNECT WELLNESS BRUCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M WRIGHT JR. (MANAGING MEMBER RECONNECT OUTPATIEN)
16626803148
Entity
Organization
Contact information
Practice address
131 PUBLIC SQUARE, BRUCE, MS 38915
(166) 298-2292
Mailing address
PO BOX 3667, TUPELO, MS 38803-3667
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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