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1255947297
GLUCKSTADT TC KIDS, LLC
MADISON, MS
NPI
1255947297
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Entity Type
Organization
Authorized Contact
WARREN HERRING
CEO
601-499-0651
Organization Subpart ?
Yes
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2020-09-16
Last Update Date
2020-12-04
Business Address
GLUCKSTADT TC KIDS, LLC
101 LEXINGTON DR STE A
MADISON, MS 39110-6986
Phone number: 601-707-3772
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Mailing Address
GLUCKSTADT TC KIDS, LLC
1107 HIGHLAND COLONY PKWY STE 219
RIDGELAND, MS 39157-6079
Phone number: 601-707-3279
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