Organization
GLUCKSTADT SPECIAL CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M CONNER CPC (DIRECTOR OF CLIENT SOLUTIONS)
(318) 255-7591
Entity
Organization
Contact information
Practice address
1716 HIGHWAY 51 STE M, MADISON, MS 39110-5020
(601) 707-5621
(601) 707-9052
Mailing address
1716 HIGHWAY 51 STE M, MADISON, MS 39110-5020
(601) 707-5621
(601) 707-9052
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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