Organization
HUNTER ASSETS HOLDING LLC
Active
Other names
TLC Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRENCHIE COTTON RUSSELL RPH (MEDICAL COORDINATOR)
(601) 427-7101
Entity
Organization
Contact information
Practice address
1035 W MAYES ST, JACKSON, MS 39213-6100
(601) 427-7101
Mailing address
350 W WOODROW WILSON AVE STE 311, JACKSON, MS 39213-7681
(601) 427-7101
(601) 427-7103
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/25/2018
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