The Clinic At Elm Lake, P.a.

NPI 1215193933 - Legal Medicine - 173000000X

NPI Details
NPI 1215193933
Enumeration Date 08/01/2008
Last Updated 08/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANNMARIE ANNMARIE
Position MEDICAL DIRECTOR
Phone (662) 240-9999
Fax (662) 241-5451
Practice Location
3700 N FRONTAGE RD
COLUMBUS MS, 39701, US
Phone (662) 240-9999
Fax (662) 241-5451
Business Location
3700 N FRONTAGE RD
COLUMBUS MS, 39701, US
Phone (662) 240-9999
Fax (662) 241-5451
Toxanomy
Taxonomy Code 173000000X
License State Mississippi
License Number MS13926
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According to our database, The Clinic At Elm Lake, P.a. NPI is 1215193933, taxonomy code is 173000000X and license number is MS13926, license state is located at Mississippi. The Clinic At Elm Lake, P.a. physically located at 3700 N Frontage Rd, Columbus MS, 39701. NPI Number 1033115704 has the healthcare provider type.

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1215193933 NPI number is provided on an as is basis without warranty of any kind. 1215193933 is maintained by the National Plan & Provider Enumeration System. The contents of The Clinic At Elm Lake, P.a. are for informational purposes only.