Organization
NORTH MISSISSIPPI TELEHEALTH CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY M DUWALDT (COO)
(662) 200-1124
Entity
Organization
Contact information
Practice address
7900 AIRWAYS BLVD STE 6, SOUTHAVEN, MS 38671-4113
(847) 276-0160
Mailing address
170 DANBROOKE DR, COLLIERVILLE, TN 38017-8624
(847) 276-0160
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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