Organization
MENDENHALL MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GARRETT NP (NP)
(601) 502-3574
Entity
Organization
Contact information
Practice address
3661 SIMPSON HIGHWAY 49, MENDENHALL, MS 39114-6001
(601) 292-9350
(601) 292-9351
Mailing address
3661 SIMPSON HIGHWAY 49, MENDENHALL, MS 39114-6001
(601) 292-9350
(601) 292-9351
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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