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Organization
MS CARE CLINIC, INC
Active
Organization
MS CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA GREENE DNP, NP-C (CEO/PRESIDENT)
(601) 499-0282
Entity
Organization
Contact information
Practice address
625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4836
(601) 850-2200
(601) 420-0223
Mailing address
625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4836
(601) 499-0282
(601) 420-0223
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/12/2020
Last updated
07/28/2020
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