Trinity Specialty Care Services, Inc

NPI 1205138898 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1205138898
Enumeration Date 12/02/2010
Last Updated 12/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FELICIA DELORIS FELICIA
Position CHEIF OPERATION OFFICER
Phone (662) 341-0416
Fax
Practice Location
15865 HIGHWAY 14W
MACON MS, 39341-9270, US
Phone (662) 341-0416
Fax
Business Location
PO BOX 402
MACON MS, 39341-0402, US
Phone (662) 341-0416
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Mississippi
License Number R740067
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According to our database, Trinity Specialty Care Services, Inc NPI is 1205138898, taxonomy code is 363L00000X and license number is R740067, license state is located at Mississippi. Trinity Specialty Care Services, Inc physically located at 15865 Highway 14w, Macon MS, 39341-9270. NPI Number 1033115704 has the healthcare provider type.

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1205138898 NPI number is provided on an as is basis without warranty of any kind. 1205138898 is maintained by the National Plan & Provider Enumeration System. The contents of Trinity Specialty Care Services, Inc are for informational purposes only.