Children's Acceleration Program, Inc

NPI 1093865933 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1093865933
Enumeration Date 01/11/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DORIS DORIS
Position DIRECTOR
Phone (662) 627-2741
Fax
Practice Location
112 ISSAQUENA AVE
CLARKSDALE MS, 38614-4315, US
Phone (662) 627-2741
Fax
Business Location
PO BOX 1382
CLEVELAND MS, 38732-1382, US
Phone (662) 627-2741
Fax (662) 846-6306
Toxanomy
Taxonomy Code 363LP0200X
License State Mississippi
License Number R125740
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According to our database, Children's Acceleration Program, Inc NPI is 1093865933, taxonomy code is 363LP0200X and license number is R125740, license state is located at Mississippi. Children's Acceleration Program, Inc physically located at 112 Issaquena Ave, Clarksdale MS, 38614-4315. NPI Number 1033115704 has the healthcare provider type.

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1093865933 NPI number is provided on an as is basis without warranty of any kind. 1093865933 is maintained by the National Plan & Provider Enumeration System. The contents of Children's Acceleration Program, Inc are for informational purposes only.