# DRCLM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mnzava Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831906080
- **Authorized official:** CHRISTY MNZAVA DO (PHYSICIAN)
- **Authorized official phone:** (601) 282-5315

## Contact information

- **Practice address:** 2514 67TH AVENUE LOOP STE 106, MERIDIAN, MS 39307-7260
- **Practice address phone:** (601) 282-5315
- **Practice address fax:** (601) 282-5437
- **Mailing address:** 2514 67TH AVENUE LOOP STE 106, MERIDIAN, MS 39307-7260
- **Mailing address phone:** (601) 282-5315

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 02/28/2025