PINE RIDGE FAMILY CLINIC, LLC

COLLINS, MS
NPI1366075236
Entity TypeOrganization
Authorized ContactMARLANA P. HEDGEPETH
Owner
601-765-6834
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2020-02-19
Last Update Date2020-07-13
Business Address
PINE RIDGE FAMILY CLINIC, LLC
3248 HIGHWAY 49
COLLINS, MS 39428
Phone number: 601-800-8580
Mailing Address
PINE RIDGE FAMILY CLINIC, LLC
PO BOX 177
ELLISVILLE, MS 39437-0177
Phone number: 601-765-6834