Organization
CALHOUN MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE F DELOACH (CFO)
(601) 433-2998
Entity
Organization
Contact information
Practice address
5135 HWY 84W, LAUREL, MS 39443
(601) 340-3544
(601) 651-2926
Mailing address
5135 HWY 84W, LAUREL, MS 39443
(601) 340-3544
(601) 651-2926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14545
MS
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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