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Organization

NETTLETON MEDICAL EXPRESS CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEEANN BLAKE (OFFICE MANAGER)
(662) 963-0500
Entity
Organization

Contact information

Practice address
7230 HIGHWAY 45 N STE B, 32610 HWY 45 N, NETTLETON, MS 38858
(662) 416-3357
(662) 256-3131
Mailing address
7230 HIGHWAY 45 N STE B, NETTLETON, MS 38858-9399
(662) 963-0500
(662) 963-0499

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/22/2019
Last updated
08/19/2020
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