Organization
WESTRIDGE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER L MAULDIN M.D. (GENERAL PARTNER)
(601) 649-7600
Entity
Organization
Contact information
Practice address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Mailing address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12524
MS
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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