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Organization
SOUTHERN CHARM FAMILY HEALTHCARE
Active
Organization
SOUTHERN CHARM FAMILY HEALTHCARE
Active
Other names
Southern Charm Family Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MARIE FOSTER NP-C (OWNER)
(601) 829-6151
Entity
Organization
Contact information
Practice address
1201 HIGHWAY 49 S STE 46, RICHLAND, MS 39218-9438
(601) 829-6151
(769) 241-0044
Mailing address
515 BELLE OAK PL, BRANDON, MS 39042-8111
(601) 829-6151
(769) 241-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
12/08/2021
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