Organization
SHC MEDICAL PARTNERS OF MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALTSTADT (PROVIDER ENROLLMENT SPECIALIST)
(502) 630-7494
Entity
Organization
Contact information
Practice address
1000 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-2073
(501) 267-9870
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
10/24/2024
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