Organization
EUDORA MEDICAL CENTER LLC
Active
Other names
Eudora Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY M. PERKINS FNP-C (OWNER)
(662) 589-6290
Entity
Organization
Contact information
Practice address
8995 W COMMERCE ST STE 4, HERNANDO, MS 38632-6812
(662) 589-6290
(662) 649-6085
Mailing address
8995 W COMMERCE ST STE 4, HERNANDO, MS 38632-6812
(662) 589-6290
(662) 649-6085
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03003882
—
MS
01
—
879057
MS NURSING/NP LICENSE
MS
Enumeration date
12/19/2022
Last updated
03/06/2023
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