Organization
MCCLATCHY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARDEE MCCLATCHY M.D. (OWNER)
(662) 893-7878
Entity
Organization
Contact information
Practice address
7235 HACKS CROSS RD, OLIVE BRANCH, MS 38654-4213
(662) 893-7878
Mailing address
7235 HACKS CROSS RD, OLIVE BRANCH, MS 38654-4213
(662) 893-7878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09637
MS
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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