Organization · Type 2 NPI
Indianola Wellness Clinic, LLC
Primary Care Clinic/Center · Indianola, MS
NPI number
1508393000
Active
Practice location
131 Main St
Indianola, MS 38751-2849
Mailing address
108 Whittington Dr
Indianola, MS 38751-3434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 901379 (MS) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Indianola
About NPI 1508393000
Indianola Wellness Clinic, LLC's National Provider Identifier is 1508393000, issued on May 15, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Indianola, MS. The record was last updated on Jun 16, 2018.