Organization
UPPAL MEDICAL CENTER LLC
Active
Other names
uppal medical center llc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J WATKINS (CEO)
(601) 665-4162
Entity
Organization
Contact information
Practice address
1727 E UNION ST, GREENVILLE, MS 38703-3253
(662) 577-6673
Mailing address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(855) 830-3484
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003088388
—
MS
Enumeration date
05/10/2019
Last updated
09/02/2025
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