Organization
MISSISSIPPI MEDICAL CLINIC OF MENDEHALL
Active
Other names
Mississippi Medical Clinic Mendenhall
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTE N FERGUSON NP (OWNER)
(601) 675-1200
Entity
Organization
Contact information
Practice address
2170 SIMPSON HIGHWAY 49, MENDENHALL, MS 39114-5418
(601) 675-1200
(601) 375-1209
Mailing address
PO BOX 335, MAGEE, MS 39111-0335
(601) 675-1200
(601) 675-1209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/16/2024
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