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Organization
CALEDONIA COMMUNITY CLINIC, LLC
Active
Organization
CALEDONIA COMMUNITY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JORDAN HUDSON NP (FNP-C)
(662) 251-3451
Entity
Organization
Contact information
Practice address
171 SOUTH ST, CALEDONIA, MS 39740-8587
(662) 855-0080
Mailing address
PO BOX 217, CALEDONIA, MS 39740-0217
(662) 251-3451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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