Organization
COMPASSIONATE CARE CLINIC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA KOHLIEM (OWNER/OPERATOR)
(662) 269-3870
Entity
Organization
Contact information
Practice address
218 S THOMAS ST, TUPELO, MS 38801-5330
(662) 269-3870
Mailing address
218 S THOMAS ST, TUPELO, MS 38801-5330
(662) 269-3870
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R875837
MS
Other
Enumeration date
10/24/2016
Last updated
07/10/2017
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