Organization
STATCARE PLLC
Active
Other names
STATCare Plus, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA KENNEDY (ADMINISTRATOR)
(601) 250-1122
Entity
Organization
Contact information
Practice address
1015 DELAWARE AVE, SUITE C, MCCOMB, MS 39648-3827
(601) 249-4777
(601) 249-4776
Mailing address
1015 DELAWARE AVE, SUITE C, MCCOMB, MS 39648-3827
(601) 249-4777
(601) 249-4776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
11/01/2021
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