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1144403122
LIVING WATERS COMMUNITY MEDICAL CENTER PLLC
PASS CHRISTIAN, MS
NPI
1144403122
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Entity Type
Organization
Authorized Contact
LISA MARIE TILLMAN
Office Manager
228-586-2455
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MS 06960)
Enumeration Date
2007-12-12
Last Update Date
2007-12-12
Business Address
LIVING WATERS COMMUNITY MEDICAL CENTER PLLC
13472 VIDALIA RD
PASS CHRISTIAN, MS 39571-8300
Phone number: 228-586-2455
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Mailing Address
LIVING WATERS COMMUNITY MEDICAL CENTER PLLC
13472 VIDALIA RD
PASS CHRISTIAN, MS 39571-8300
Phone number: 228-586-2455
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