Organization
MADDEN MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENITA CHAMBLEE (OFFICE MANAGER)
(601) 267-4562
Entity
Organization
Contact information
Practice address
1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
(601) 267-4562
(601) 267-4589
Mailing address
PO BOX 435, CARTHAGE, MS 39051-0435
(601) 267-4562
(601) 267-4589
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014124
—
MS
Enumeration date
11/14/2006
Last updated
07/21/2011
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