Organization
MEDICAL CARE ASSOCIATES MOBILE UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE YOUNKINS (CPC)
(601) 944-1717
Entity
Organization
Contact information
Practice address
3855 AZALEA DR, JACKSON, MS 39206-5105
(601) 366-9447
Mailing address
PO BOX 2121, MEMPHIS, TN 38159-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16695
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03675550
—
MS
Enumeration date
07/17/2008
Last updated
07/17/2008
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