Organization
MAIN STREET MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DAVIS PERKINS (FAMILY NURSE PRACTITIONER)
(662) 803-5318
Entity
Organization
Contact information
Practice address
106 W MAIN ST, LOUISVILLE, MS 39339-2620
(662) 803-5318
Mailing address
106 W MAIN ST, LOUISVILLE, MS 39339-2620
(662) 803-5318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/16/2013
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