Organization
THE CLINIC AT ELM LAKE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNMARIE STOKES M.D. (MEDICAL DIRECTOR)
(662) 240-9999
Entity
Organization
Contact information
Practice address
3700 N FRONTAGE RD, COLUMBUS, MS 39701
(662) 240-9999
(662) 241-5451
Mailing address
3700 N FRONTAGE RD, COLUMBUS, MS 39701
(662) 240-9999
(662) 241-5451
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MS13926
MS
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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