Organization
MANTACHIE RURAL HEALTH CARE, INC
Active
Other names
Mantachie Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATSY T COLLINS (CEO)
(662) 282-4226
Entity
Organization
Contact information
Practice address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
(662) 282-7946
Mailing address
5681 HIGHWAY 363, MANTACHIE, MS 38855-7632
(662) 282-4226
(662) 282-7946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014269
—
MS
Enumeration date
05/12/2006
Last updated
02/10/2014
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