# STATCARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** STATCare Plus, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194026260
- **Authorized official:** DEBRA KENNEDY (ADMINISTRATOR)
- **Authorized official phone:** (601) 250-1122

## Contact information

- **Practice address:** 1015 DELAWARE AVE, SUITE C, MCCOMB, MS 39648-3827
- **Practice address phone:** (601) 249-4777
- **Practice address fax:** (601) 249-4776
- **Mailing address:** 1015 DELAWARE AVE, SUITE C, MCCOMB, MS 39648-3827
- **Mailing address phone:** (601) 249-4777
- **Mailing address fax:** (601) 249-4776

## Taxonomy

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

## Other

- **Enumeration date:** 11/05/2010
- **Last updated:** 11/01/2021