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Organization
FAMILY URGENT CARE CLINIC, PA
Active
Organization
FAMILY URGENT CARE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EMERSON WALLACE CFNP (PRESIDENT)
(662) 840-8010
Entity
Organization
Contact information
Practice address
1154 CROSS CREEK DR, SALTILLO, MS 38866-5777
(662) 840-8010
(662) 840-2656
Mailing address
1154 CROSS CREEK DR, SALTILLO, MS 38866-5777
(662) 840-8010
(662) 840-2656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
C02648
MS
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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