Organization
BMC - ATTALA, LLC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
BMC Attala Kosciusko Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY M DUCKETT (SR VP/CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 289-4311
(662) 290-3255
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(662) 289-4311
(662) 290-3255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
09/30/2020
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