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Organization
NORTHSTAR HEALTHCARE-BETA LLC
Active
Organization
NORTHSTAR HEALTHCARE-BETA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BLEVINS (NATIONAL DIRECTOR OF OPERATIONS)
(901) 378-3561
Entity
Organization
Contact information
Practice address
1060 E COUNTY LINE RD STE 6, RIDGELAND, MS 39157-1937
(601) 438-2678
(601) 438-2679
Mailing address
1060 E COUNTY LINE RD STE 6, RIDGELAND, MS 39157-1937
(601) 438-2678
(601) 438-2679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
04/13/2021
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