Organization
INDIAN SPRINGS MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JERRID CUMBERLAND (OPERATIONS MANAGER)
(601) 782-9997
Entity
Organization
Contact information
Practice address
517 CENTER AVE N, PHILADELPHIA, MS 39350-2552
(601) 656-1440
(601) 782-5655
Mailing address
41 S HALL RD, MORTON, MS 39117-8057
(601) 782-9997
(601) 782-5655
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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