Organization
THE MEDICAL CLINIC OF DESOTO INC
Active
Organization
THE MEDICAL CLINIC OF DESOTO INC
Active
Other names
The Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN GBEMUDU (ADMINISTRATOR)
(662) 893-0450
Entity
Organization
Contact information
Practice address
6953 OAK FOREST DR, OLIVE BRANCH, MS 38654-1920
(662) 893-0450
(662) 893-0460
Mailing address
6953 OAK FOREST DR, OLIVE BRANCH, MS 38654-1920
(662) 893-0450
(662) 893-0460
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
10/22/2021
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