Organization
CLARKSDALE HMA INC
Active
Other names
Clarksdale Phys Svcs EKG
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3167
Entity
Organization
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3401
Mailing address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 624-3401
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014366
—
MS
Enumeration date
07/12/2006
Last updated
08/22/2020
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