Organization
SOUTH MISSISSIPPI URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ALI FNP (OWNER)
(228) 539-2399
Entity
Organization
Contact information
Practice address
3661 SANGANI BLVD, SUITE E, DLBERVILLE, MS 39540
(228) 354-0022
(228) 354-0088
Mailing address
3661 SANGANI BLVD., SUITE E, DLBERVILLE, MS 39540
(228) 354-0022
(228) 354-0088
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01938518
—
MS
Enumeration date
07/17/2006
Last updated
09/13/2013
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