CHILDRENS CLINIC OF CLARKSDALE PA

CLARKSDALE, MS
NPI1497834030
Entity TypeOrganization
Authorized ContactCAROLE L MANGREM
Partner
662-627-4131
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MS  R861078)
Additional Taxonomies208000000X Pediatrics
(Licence: MS  07191)
208000000X Pediatrics
(Licence: MS  07070)
Enumeration Date2006-11-03
Last Update Date2020-08-22
Business Address
CHILDRENS CLINIC OF CLARKSDALE PA
2245 N STATE STREET
CLARKSDALE, MS 38614
Phone number: 662-627-4131
Mailing Address
CHILDRENS CLINIC OF CLARKSDALE PA
PO BOX 1447
CLARKSDALE, MS 38614
Phone number: 662-627-4131
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