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Organization
S&K MEDICAL,LLC
Active
Organization
S&K MEDICAL,LLC
Active
Other names
Superior Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE FERGUSON MD (OWNER)
(601) 942-6902
Entity
Organization
Contact information
Practice address
2085 GOODMAN RD W, HORN LAKE, MS 38637-1416
(662) 253-8459
(662) 253-8678
Mailing address
5885 AIRLINE RD UNIT 962, ARLINGTON, TN 38002-5121
(901) 317-7427
(901) 317-7585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
09/14/2016
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