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Organization

OPEN ARMS CHILDREN'S CLINIC LLC,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA MCGREW NP (OWNER)
(601) 308-5253
Entity
Organization

Contact information

Practice address
809 N JACKSON ST STE C, CRYSTAL SPRINGS, MS 39059-2177
(601) 308-5253
(601) 308-5263
Mailing address
809 N JACKSON ST STE C, CRYSTAL SPRINGS, MS 39059-2177
(601) 308-5253
(601) 308-5263

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/01/2018
Last updated
12/01/2018
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