Organization
PHOENIX KIDS CARE PLLC
Active
Other names
Phoenix Kids Care PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL N HULL MD (PHYSICIAN)
(601) 282-8543
Entity
Organization
Contact information
Practice address
2203 HIGHWAY 39 N STE B, MERIDIAN, MS 39301-2609
(601) 453-3376
Mailing address
2203 HIGHWAY 39 N STE B, MERIDIAN, MS 39301-2609
(601) 453-3376
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08686521
—
MS
Enumeration date
09/28/2022
Last updated
09/28/2022
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