Organization
PATIENT FIRST URGENT CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY WALLACE MD (PRESIDENT)
(662) 335-5291
Entity
Organization
Contact information
Practice address
2524 E ALEXANDER ST, SUITE A, GREENVILLE, MS 38701-3330
(662) 335-5773
(662) 335-5774
Mailing address
1800 WATER PLACE, SUITE 222, ATLANTA, GA 30339-2061
(770) 953-4864
(770) 953-8132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10491
MS
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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