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Organization

ROSWELL CLINIC CORP

Active
Other names
Quickcare of Roswell
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L JACKSON (SNR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization

Contact information

Practice address
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201-5240
(575) 625-1292
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7429
(615) 628-6877

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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