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Organization
SPECIALTY CARE EXTENDED HOURS CLINIC LLC
Active
Organization
SPECIALTY CARE EXTENDED HOURS CLINIC LLC
Active
Other names
Specialty Care Extended Hours Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE D MCKAY (CHIEF EXECUTIVE OFFICER)
(901) 634-8641
Entity
Organization
Contact information
Practice address
5600 GOODMAN RD, SUITE D, OLIVE BRANCH, MS 38654-7002
(901) 634-8641
(662) 420-7147
Mailing address
5600 GOODMAN RD, SUITE D, OLIVE BRANCH, MS 38654-7002
(901) 634-8641
(662) 420-7147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
01/14/2015
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