Organization
FIRST CHOICE FAMILY HEALTHCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORLYN RUSSELL DNP, FNP-C (DNP/COO)
(601) 526-9001
Entity
Organization
Contact information
Practice address
119 S OAK STE 2, RAYMOND, MS 39154-4205
(601) 526-9001
(601) 526-9118
Mailing address
PO BOX 1473, RAYMOND, MS 39154-1473
(601) 526-9001
(601) 526-9118
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548720568
—
MS
Enumeration date
03/25/2019
Last updated
09/30/2022
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