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Organization
ADELINE AFTER-HOUR CARE, LLC
Active
Organization
ADELINE AFTER-HOUR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKECHUKWU OKORIE M.D (OWNER)
(305) 479-7945
Entity
Organization
Contact information
Practice address
1307 ADELINE ST, HATTIESBURG, MS 39401-5028
(601) 336-7575
Mailing address
1307 ADELINE ST, HATTIESBURG, MS 39401-5028
(601) 336-7575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19875
MS
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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