THE ANTI-AGING AND WELLNESS CENTER NPI 1013286533

NPI Information

NPI: 1013286533
Provider Name: THE ANTI-AGING AND WELLNESS CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
655 LAKE HARBOUR DR STE 900
RIDGELAND, MS
ZIP 39157
Phone: (601) 707-5171
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THE ANTI-AGING AND WELLNESS CENTER is a health service clinic center in Ridgeland, MS. THE ANTI-AGING AND WELLNESS CENTER NPI is 1013286533. The provider is registered as an organization entity type.

The provider's business location address is:

655 LAKE HARBOUR DR STE 900
RIDGELAND, MS
ZIP 39157-355
Phone: (601) 707-5171

The provider's authorized official is Donald Ray Bonner .
The authorized official title is Owner and has the following contact phone number (601) 421-4808.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 12/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	960070	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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