Statcare Pllc

NPI 1174579338 - Clinic/Center - 261Q00000X

NPI Details
NPI 1174579338
Enumeration Date 05/26/2006
Last Updated 10/23/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBRA B DEBRA
Position OFFICE MANAGER
Phone (601) 250-1122
Fax (601) 250-0290
Practice Location
1017 DELAWARE AVE
MCCOMB MS, 39648-3827, US
Phone (601) 250-1122
Fax (601) 250-0290
Business Location
PO BOX 1909
MCCOMB MS, 39649-1909, US
Phone (601) 250-1122
Fax (601) 250-0290
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Statcare Pllc NPI is 1174579338, taxonomy code is 261Q00000X Statcare Pllc physically located at 1017 Delaware Ave, Mccomb MS, 39648-3827. NPI Number 1033115704 has the healthcare provider type.

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1174579338 NPI number is provided on an as is basis without warranty of any kind. 1174579338 is maintained by the National Plan & Provider Enumeration System. The contents of Statcare Pllc are for informational purposes only.