Organization
WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE GIBBS CNA (OWNER)
(601) 513-4956
Entity
Organization
Contact information
Practice address
1727 6TH ST, MERIDIAN, MS 39301-5249
(601) 513-4956
Mailing address
1727 6TH ST, MERIDIAN, MS 39301-5249
(601) 513-4956
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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