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Organization
EUDORA MEDICAL CENTER LLC
Active
Organization
EUDORA MEDICAL CENTER LLC
Active
Other names
Eudora Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY M. PERKINS FNP-C (OWNER)
(662) 589-6290
Entity
Organization
Contact information
Practice address
8995 W COMMERCE ST STE 4, HERNANDO, MS 38632-6812
(662) 589-6290
(662) 649-6085
Mailing address
8995 W COMMERCE ST STE 4, HERNANDO, MS 38632-6812
(662) 589-6290
(662) 649-6085
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003882
—
MS
01
—
879057
MS NURSING/NP LICENSE
MS
Enumeration date
12/19/2022
Last updated
03/06/2023
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