Organization
HOME IN THE WOODS HEALTHCARE CLINIC, LLC
Active
Other names
Home in the Woods Healthcare Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TANGA ROBINSON CFNP (FAMILY NURSE PRACTITIONER)
(601) 896-1789
Entity
Organization
Contact information
Practice address
6572 COUNTY ROAD 514, ITTA BENA, MS 38941-2746
(601) 896-1789
Mailing address
6572 COUNTY ROAD 514, ITTA BENA, MS 38941-2746
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
12/12/2019
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