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Organization

CHILDRENS HEALTH CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE RENAE WILLIAMS (NURSE/OWNER)
(662) 226-0325
Entity
Organization

Contact information

Practice address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 226-0325
(662) 226-0327
Mailing address
340 VAN DORN ST, GRENADA, MS 38901-4738
(662) 226-0325
(662) 226-0327

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
06/10/2020
Last updated
07/17/2020
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