Organization · NPI-2

Action Potential, PLLC

Family Medicine, Sports Medicine · Hattiesburg, MS

NPI number1922868314
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1922868314
Entity type
Organization (NPI-2)
Legal business name
Action Potential, PLLC
Organization subpart
No
Enumeration date
Mar 21, 2024
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine––Yes

Other names

  • Motion Wellness (Doing Business As)

Practice location

31 Town Center Sq # 200
Hattiesburg, MS 39402-7040

Phone 601-620-6225

Mailing address

31 Town Center Sq # 200
Hattiesburg, MS 39402-7040

Phone 601-620-6225

Other practice locations

300 3rd Ave Se
Magee, MS 39111-3665

Phone 601-849-7318

Authorized official

Christopher Penton
Owner
6016206225

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