# MS CARE CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376168500
- **Authorized official:** DR. AMANDA GREENE DNP, NP-C (CEO/PRESIDENT)
- **Authorized official phone:** (601) 499-0282

## Contact information

- **Practice address:** 625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4836
- **Practice address phone:** (601) 850-2200
- **Practice address fax:** (601) 420-0223
- **Mailing address:** 625 S PEAR ORCHARD RD STE B, RIDGELAND, MS 39157-4836
- **Mailing address phone:** (601) 499-0282
- **Mailing address fax:** (601) 420-0223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 07/28/2020