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Organization
ALLIANCE HEALTH PARTNERS LLC
Active
Organization
ALLIANCE HEALTH PARTNERS LLC
Active
Other names
Tri Lakes Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HERRON (HMPN)
(662) 563-5611
Entity
Organization
Contact information
Practice address
435 HIGHWAY 6 E, BATESVILLE, MS 38606-3001
(662) 563-7873
(662) 563-8129
Mailing address
PO BOX 731804, DALLAS, TX 75373-1804
(662) 563-7873
(662) 563-8129
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013323
—
MS
01
—
C03436
CAHABA
MS
Enumeration date
03/06/2006
Last updated
04/23/2013
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