Organization
NORTH MISSISSIPPI CLINICS LLC
Active
Other names
The Clinic at Walmart Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIMBROUGH (MANAGER)
(662) 377-4685
Entity
Organization
Contact information
Practice address
1913 HIGHWAY 45 N, COLUMBUS, MS 39705-1950
(662) 328-9702
Mailing address
1913 HIGHWAY 45 N, COLUMBUS, MS 39705-1950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
02/06/2023
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