Organization
RIVER CITY PRIMARY CARE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA LONG NURSE PRACTITIONER (OWNER)
(251) 554-6288
Entity
Organization
Contact information
Practice address
3702 JEFFERSON AVE, PASCAGOULA, MS 39563-6218
(228) 205-4592
(228) 205-4593
Mailing address
3702 JEFFERSON AVE, MOSS POINT, MS 39563-6218
(228) 205-4592
(228) 205-4593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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