Organization
MORE CONVENIENT CARE CENTER LLC
Active
Parent organization
MORE CONVENIENT CARE CENTER LLC
Other names
More Health Care LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MORE CONVENIENT CARE CENTER LLC
Authorized official
MS. MARY LYNN HILLIARD APRN, BC, FNP (FAMILY NURSE PRACTITIONER)
(601) 209-8432
Entity
Organization
Contact information
Practice address
4612 MEDGAR EVERS BLVD, SUITE 10, JACKSON, MS 39213-5205
(601) 321-9104
(601) 321-9138
Mailing address
P. O. BOX 68483, JACKSON, MS 39286
(601) 321-9104
(601) 321-9138
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R656046
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115980
—
MS
01
—
500001874
MEDICARE
MS
Enumeration date
10/07/2009
Last updated
11/18/2011
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