Organization
GRACE & MERCY HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESHIA MONIQUE FORD AANC (FNP)
(601) 691-0100
Entity
Organization
Contact information
Practice address
131 LEXINGTON ST, PICKENS, MS 39146-3914
(601) 691-0100
Mailing address
3127 GREENFIELD RD LOT 162, PEARL, MS 39208-8771
(601) 691-0100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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