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Organization
KDMC PHYSICIAN CLINICS LLC
Active
Organization
KDMC PHYSICIAN CLINICS LLC
Active
Parent organization
KINGS DAUGHTERS MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINGS DAUGHTERS MEDICAL CENTER
Authorized official
MR. SCOTT CHRISTENSEN (CEO)
(601) 835-9488
Entity
Organization
Contact information
Practice address
950 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2644
(601) 823-5103
(601) 823-3514
Mailing address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
(601) 823-2206
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/08/2013
Last updated
03/27/2023
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