LINE STREET MEDICAL, LLC

PHILADELPHIA, MS
NPI1821560327
Entity TypeOrganization
Authorized ContactLEAH DENISE PHILLIPS
Nurse Practitioner
601-562-6363
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2018-12-20
Last Update Date2020-04-30
Business Address
LINE STREET MEDICAL, LLC
562 LINE ST S STE 1
PHILADELPHIA, MS 39350-2144
Phone number: 601-562-6363
Mailing Address
LINE STREET MEDICAL, LLC
562 LINE ST S STE 1
PHILADELPHIA, MS 39350-2144
Phone number:
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