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Organization
ANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC
Active
Organization
ANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA CAMERON FNP (OWNER)
(601) 869-0299
Entity
Organization
Contact information
Practice address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 869-0299
(601) 680-3216
Mailing address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 869-0299
(601) 680-3216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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