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Indianola Wellness Clinic, Llc
Primary Care Clinic/Center in Indianola, Mississippi
NPI 1508393000

Indianola Wellness Clinic, Llc is a Primary Care Clinic/Center based in Indianola, MS and is specialized in Primary Care. Indianola Wellness Clinic, Llc practices in Indianola, MS. The NPI Number for Indianola Wellness Clinic, Llc is 1508393000 and holds a License No. 901379 (Mississippi).

The current practice location address for Indianola Wellness Clinic, Llc is 131 Main St, Indianola, MS and can be reached out via phone at 662-303-3743.

Location: 131 Main St, Indianola, MS, 38751-3434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508393000
Provider Name
Indianola Wellness Clinic, Llc
Credential
Provider Entity Type
Organization
Address
131 Main St, Indianola, MS, 38751-3434
Phone Number
662-303-3743
Fax Number
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03321871 05 MS
institution
Provider Business Practice Location Address Details
Address
131 Main St
City
Indianola
State
Mississippi
Zip
38751-2849
Phone Number
662-303-3743
Fax Number
person
Provider Business Mailing Address Details
Address
131 Main St
City
Indianola
State
Mississippi
Zip
38751-2849
Phone Number
662-303-3743
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
901379 (Mississippi)
Definition
Definition to come...
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