Patients' Choice Medical Clinic Llc

NPI 1225303340 - Clinic/Center - 261Q00000X

NPI Details
NPI 1225303340
Enumeration Date 03/22/2012
Last Updated 12/03/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANGELA ANGELA
Position FNP-C
Phone (601) 735-3737
Fax
Practice Location
501 AZALEA DR
SUITE F
WAYNESBORO MS, 39367-2661, US
Phone (601) 735-3737
Fax
Business Location
501 AZALEA DR
SUITE F
WAYNESBORO MS, 39367-2661, US
Phone (601) 735-3737
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Mississippi
License Number R867779
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According to our database, Patients' Choice Medical Clinic Llc NPI is 1225303340, taxonomy code is 261Q00000X and license number is R867779, license state is located at Mississippi. Patients' Choice Medical Clinic Llc physically located at 501 Azalea Dr, Waynesboro MS, 39367-2661. NPI Number 1033115704 has the healthcare provider type.

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1225303340 NPI number is provided on an as is basis without warranty of any kind. 1225303340 is maintained by the National Plan & Provider Enumeration System. The contents of Patients' Choice Medical Clinic Llc are for informational purposes only.