Organization
DURRETT HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA COUSAR DURRETT CFNP (NURSE PRACTITIONER/OWNER)
(662) 316-5342
Entity
Organization
Contact information
Practice address
1515 MUNSFORD DR, NEW ALBANY, MS 38652-7407
(662) 534-0046
Mailing address
651 OWEN RD, NEW ALBANY, MS 38652-9402
(662) 316-5342
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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