Clinton Wellness Center LLC
Organization Active NPI Family Medicine Physician · Clinton, MS
NPI 1124410410 · NPPES record last updated Feb 24, 2015
Key facts
- NPI
- 1124410410
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CLINTON WELLNESS CENTER LLC
- Practice address
- 322 Highway 80 E
Suite D
Clinton, MS 39056-4726 - Phone
- (318) 791-3765
- Fax
- (877) 747-5326
- NPI assigned
- Feb 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Marco Moran, DPH
- Title
- Owner
- Phone
- (318) 791-3765
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
322 Highway 80 E
Suite D
Clinton, MS 39056-4726
Mailing address
PO Box 59294
Jackson, MS 39284-9294
Phone (318) 791-3765
Other providers in Clinton, MS
- Samantha Clark
- Tempa Temera Dominique Clark
- Clinton Dental Care, Inc.
- Clinton Family Care LLC
- Clinton Healthcare LLC
- Clinton Wellness Center LLC
- Abbey Cobb
- Pamela Dawn Coker
- Lakesha Cole
- Tia Symone Coleman
All providers in Clinton, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.