# MADDEN MEDICAL CLINIC LLC

> 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:** 1114099439
- **Authorized official:** BENITA CHAMBLEE (OFFICE MANAGER)
- **Authorized official phone:** (601) 267-4562

## Contact information

- **Practice address:** 1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
- **Practice address phone:** (601) 267-4562
- **Practice address fax:** (601) 267-4589
- **Mailing address:** PO BOX 435, CARTHAGE, MS 39051-0435
- **Mailing address phone:** (601) 267-4562
- **Mailing address fax:** (601) 267-4589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 07/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09014124 | — | MS |