Organization
CONLEE CLINIC HYDRATION AND SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HANCOCK (OFFICE MANAGER)
(662) 507-2769
Entity
Organization
Contact information
Practice address
404 ENTERPRISE DR, OXFORD, MS 38655-2946
(662) 638-3412
Mailing address
PO BOX 901, OXFORD, MS 38655-0901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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