Organization
KING'S DAUGHTERS MEDICAL CENTER
Active
Other names
King's Daughters Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CHRISTENSEN (CEO)
(601) 835-9488
Entity
Organization
Contact information
Practice address
940 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2644
(601) 823-5000
Mailing address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 835-9275
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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