Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Parent organization
NESHOBA COUNTY GENERAL HOSPITAL
Other names
Neshoba Urgent Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Authorized official
SHANNON DAWN KIRKLAND FNP (FAMILY NURSE PRACTITIONER)
(601) 656-1465
Entity
Organization
Contact information
Practice address
1120 E MAIN ST, SUITE 1, PHILADELPHIA, MS 39350-2300
(601) 656-1465
(601) 656-2752
Mailing address
1120 E MAIN ST, SUITE 1, PHILADELPHIA, MS 39350-2300
(601) 656-1465
(601) 656-2752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901576
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MS
Enumeration date
08/19/2016
Last updated
08/19/2016
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