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Organization
WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC
Active
Organization
WILCO HEALTHCARE OF NORTH MISSISSIPPI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS PORTER ANDERSON PA (OWNER/MEDICAL PROVIDER)
(662) 255-2163
Entity
Organization
Contact information
Practice address
2273 S EASON BLVD, TUPELO, MS 38804-5900
(662) 842-2461
Mailing address
1289 RANCHLAND RD, BELDEN, MS 38826-8857
(662) 255-2163
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
05/19/2026
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