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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