Organization
GATEWAY WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CARSON (OWNER)
(601) 218-0969
Entity
Organization
Contact information
Practice address
1016 MISSION 66, VICKSBURG, MS 39183-2752
(601) 218-0969
Mailing address
PO BOX 820472, VICKSBURG, MS 39182-0472
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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