Organization
MIDTOWN MEDICAL AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY REEVES NP (NURSE PRACTITIONER/OWNER)
(601) 941-6251
Entity
Organization
Contact information
Practice address
2750 N CHURCH AVE, LOUISVILLE, MS 39339-2054
(662) 446-9432
Mailing address
2750 N CHURCH AVE, LOUISVILLE, MS 39339-2054
(662) 446-9432
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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