# NESHOBA URGENT CARE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033346044
- **Authorized official:** MRS. CAL BRUMMUND (CFO)
- **Authorized official phone:** (601) 663-1423

## Contact information

- **Practice address:** 1003 HOLLAND AVE, SUITE 102, PHILADELPHIA, MS 39350-2180
- **Practice address phone:** (601) 663-1423
- **Practice address fax:** (601) 663-1474
- **Mailing address:** 1003 HOLLAND AVE, SUITE 102, PHILADELPHIA, MS 39350-2180
- **Mailing address phone:** (601) 663-1423
- **Mailing address fax:** (601) 663-1474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 06/17/2009