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Organization
ADVANCE CARE, LLC
Active
Organization
ADVANCE CARE, LLC
Active
Other names
CareOne Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TYE ROLLINS (CFO, CLINICAL DIRECTOR)
(601) 397-4079
Entity
Organization
Contact information
Practice address
14 NORTHTOWN DR STE 105, JACKSON, MS 39211-3018
(601) 397-4079
Mailing address
14 NORTHTOWN DR STE 105, JACKSON, MS 39211-3018
(601) 397-4079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
02/13/2018
Last updated
06/16/2018
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