Organization
THE RADICAL WITHIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JANE HOLCOMBE NP (OWNER)
(662) 251-2328
Entity
Organization
Contact information
Practice address
834 HIGHWAY 12 W # 333, STARKVILLE, MS 39759-3582
(662) 251-2328
Mailing address
834 HIGHWAY 12 W # 333, STARKVILLE, MS 39759-3582
(662) 251-2328
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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