AT HOME PRIMARY CARE OF MS LLC

HATTIESBURG, MS
NPI1801515622
Entity TypeOrganization
Authorized ContactLISA DELORIS SLADE
Nurse Practitioner
601-270-1009
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
AT HOME PRIMARY CARE OF MS LLC
295 ARCHIE SMITH RD
HATTIESBURG, MS 39402-9322
Phone number: 601-207-1009
Mailing Address
AT HOME PRIMARY CARE OF MS LLC
295 ARCHIE SMITH RD
HATTIESBURG, MS 39402-9322
Phone number: 601-207-1009
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