Organization
PSYCLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKER MADAKASIRA (MD)
(601) 939-5993
Entity
Organization
Contact information
Practice address
2540 FLOWOOD DR, SUITE A, FLOWOOD, MS 39232-9362
(601) 939-5993
(601) 939-5935
Mailing address
2540 FLOWOOD DR, SUITE A, FLOWOOD, MS 39232-9362
(601) 939-5993
(601) 939-5935
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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