Organization
TRINITY SPECIALTY CARE SERVICES, INC
Active
Other names
Trinity Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA DELORIS EDWARDS NURSE PRACTITIONER (CHEIF OPERATION OFFICER)
(662) 341-0416
Entity
Organization
Contact information
Practice address
15865 HIGHWAY 14W, MACON, MS 39341-9270
(662) 341-0416
Mailing address
PO BOX 402, MACON, MS 39341-0402
(662) 341-0416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R740067
MS
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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