Organization
MEDPLUS STARKVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOGAN (AUTHORIZED OFFICIAL)
(626) 320-7800
Entity
Organization
Contact information
Practice address
1207 HWY 182 W, STARKVILLE, MS 39759-9013
(662) 320-7800
(662) 269-6346
Mailing address
1207 HWY 182 W, STARKVILLE, MS 39759-9013
(662) 320-7800
(662) 269-6346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/29/2020
Last updated
10/30/2025
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