# SOUTHERN CHARM FAMILY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Charm Family Healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801471172
- **Authorized official:** KELLI MARIE FOSTER NP-C (OWNER)
- **Authorized official phone:** (601) 829-6151

## Contact information

- **Practice address:** 1201 HIGHWAY 49 S STE 46, RICHLAND, MS 39218-9438
- **Practice address phone:** (601) 829-6151
- **Practice address fax:** (769) 241-0044
- **Mailing address:** 515 BELLE OAK PL, BRANDON, MS 39042-8111
- **Mailing address phone:** (601) 829-6151
- **Mailing address fax:** (769) 241-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2021
- **Last updated:** 12/08/2021