Organization
DMC II INC
Active
Parent organization
DUTCH HEALTH SERVICES, INC.
Other names
Allegro Family Clinic of East Columbus
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUTCH HEALTH SERVICES, INC.
Authorized official
JOSEPH A GILLIS (OWNER)
(662) 327-5202
Entity
Organization
Contact information
Practice address
56 DUTCH LN, COLUMBUS, MS 39702-5500
(662) 329-3808
(662) 329-3873
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-2774
(662) 377-2057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12550
MS
208000000X
Pediatrics Physician
06164
MS
363LF0000X
Family Nurse Practitioner
876972
MS
Other
Enumeration date
11/08/2017
Last updated
11/29/2017
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