Organization
ANGEL WINGS COMMUNITY HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA CAMERON FNP (OWNER)
(601) 869-0299
Entity
Organization
Contact information
Practice address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 869-0299
(601) 680-3216
Mailing address
215 MAGNOLIA ST, MAGNOLIA, MS 39652-2827
(601) 869-0299
(601) 680-3216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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