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Organization
GOLDEN TRIANGLE RURAL FAMILY HEALTH CENTER LLC
Active
Organization
GOLDEN TRIANGLE RURAL FAMILY HEALTH CENTER LLC
Active
Other names
gtr family health center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THELMA JEAN MCCLENTON FNP (OWNER)
(662) 320-7001
Entity
Organization
Contact information
Practice address
1237 HIGHWAY 182 E, STARKVILLE, MS 39759-9529
(662) 320-7001
(662) 320-4830
Mailing address
1237 HIGHWAY 182 E, STARKVILLE, MS 39759-9529
(662) 320-7001
(662) 320-4830
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507061
—
MS
Enumeration date
11/01/2006
Last updated
04/29/2013
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