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Organization

MID-SOUTH DIRECT PRIMARY CARE

Active
Parent organization
HENDRY HEALTHCARE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENDRY HEALTHCARE PLLC
Authorized official
ASHLEE HENDRY DO (D.O./ADMINISTRATOR)
(769) 223-9503
Entity
Organization

Contact information

Practice address
1229 MS-42 SUITE 270, PETAL, MS 39465
(769) 223-9503
(601) 336-4925
Mailing address
1229 MS-42 SUITE 270, PETAL, MS 39465
(769) 223-9503
(601) 336-4925

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
04/18/2025
Last updated
04/18/2025
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