Organization
BE WELL MISSISSIPPI LLC
Active
Other names
Be Well Mississippi, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONE NICHOLS DO (MEMBER)
(662) 290-9091
Entity
Organization
Contact information
Practice address
1723 UNIVERSITY AVE STE B, OXFORD, MS 38655-4109
(662) 290-9091
(877) 550-1363
Mailing address
1723 UNIVERSITY AVE SUTE B, BOX 315, OXFORD, MS 38655-4725
(662) 290-9091
(877) 550-1363
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
06/15/2023
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