Organization
ORTHO EXPRESS HOLDING COMPANY, LLC
Active
Other names
OrthoXpress of Atoka, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER C BULLOCK (PRESIDENT)
(662) 534-2227
Entity
Organization
Contact information
Practice address
11645 HIGHWAY 51 S STE 103, ATOKA, TN 38004-7130
(901) 407-2221
(901) 407-2300
Mailing address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
02/01/2024
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