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Organization

GLUCKSTADT TC KIDS, LLC

Active
Parent organization
TRUSTCARE HEALTH, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRUSTCARE HEALTH, LLC
Authorized official
HEIDI BALLARD RN (CAO)
(601) 707-3279
Entity
Organization

Contact information

Practice address
101 LEXINGTON DR STE A, MADISON, MS 39110-6986
(601) 707-3772
(601) 707-3772
Mailing address
1107 HIGHLAND COLONY PKWY STE 219, RIDGELAND, MS 39157-6079
(601) 707-3279
(601) 707-3598

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/16/2020
Last updated
03/16/2026
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