Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Wellness Clinic LLC

Organization Family Medicine Physician · NPI 1457544066

Family Wellness Clinic LLC is a Family Medicine Physician in Port Gibson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

703B Farmer St
Port Gibson, MS 39150-2319
Phone: (601) 437-5668
Fax: (601) 437-4533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16897 (MS)

Record details

NPI number1457544066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Anderson — Member · (601) 437-5668
NPI enumeratedAugust 27, 2007
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021
Mailing addressPo Box 726, Port Gibson, MS 39150-0726

Other providers in Port Gibson