Organization · Type 2 NPI

The Anti-Aging and Wellness Center

Health Service Clinic/Center · Ridgeland, MS

NPI number 1013286533 Active

Practice location

655 Lake Harbour Dr Ste 900
Ridgeland, MS 39157-4355

Call (601) 707-5171 Map

Mailing address

311 Feather Gln
Ridgeland, MS 39157-8703

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100X960070 (MS)

Health Service Clinic/Center: Definition to come...

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About NPI 1013286533

The Anti-Aging and Wellness Center's National Provider Identifier is 1013286533, issued on Dec 29, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Ridgeland, MS. The record was last updated on Dec 29, 2011.