Family Wellness Clinic Llc in Port Gibson - Family Medicine

Family Wellness Clinic Llc - NPI 1457544066

Family Wellness Clinic Llc is a Family Medicine in Port Gibson, Mississippi. Family Wellness Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Family Wellness Clinic Llc is 1457544066. The last update date is 2021-07-09.

Family Wellness Clinic Llc's current location address is Po Box 726, Port Gibson, Mississippi. You can contact this provider via phone number 6014375668 and fax number 6014374533. The mailing address for Family Wellness Clinic Llc is Po Box 726, Port Gibson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Family Wellness Clinic Llc
Address Po Box 726, Port Gibson, Mississippi
Phone Number 6014375668
Fax Number 6014374533
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Anderson S Tanya
Credentials M.D.
Telephone Number 6014375668

NPI Number Detail

NPI Number 1457544066
Provider Enumeration Date 2007-08-27
Last Updated Date 2021-07-09

Provider Mailing Address Detail

Address Po Box 726
City Port Gibson
State Mississippi (MS)
Post Code 391500726
Phone Number 6014375668
Fax Number 6014374533

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 16897
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
122761 MS --

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FAQs about Family Wellness Clinic Llc

What is the Family Wellness Clinic Llc's unique identification number?

The Family Wellness Clinic Llc has been assigned the NPI (National Provider Identifier) Number 1457544066 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Family Wellness Clinic Llc is physically located?

The Family Wellness Clinic Llc is physically situated at the following address: Po Box 726, Port Gibson, MS, 391500726.

What is Family Wellness Clinic Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Family Wellness Clinic Llc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1457544066 to Family Wellness Clinic Llc?

The Centers for Medicare & Medicaid Services assigned the 1457544066 to Family Wellness Clinic Llc on 2007-08-27.

As of what date was the information regarding Family Wellness Clinic Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Family Wellness Clinic Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-09.

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