Organization
ALL CHILDREN'S CLINIC,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIPIKA P VERMA MBA (PRACTICE ADMINISTRATOR)
(662) 562-9003
Entity
Organization
Contact information
Practice address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
(662) 562-4007
Mailing address
103 HALLS CV, SENATOBIA, MS 38668-6620
(662) 562-9003
(662) 562-4007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MS14916
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06832519
—
MS
05
—
09014771
—
MS
Enumeration date
03/24/2010
Last updated
02/29/2012
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