Organization
GOOD SHEPHERD MEDICAL/DENTAL CLINIC
Active
Other names
Good Shepherd Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WOLGAMOTT (OFFICE MANAGER)
(601) 426-2001
Entity
Organization
Contact information
Practice address
207 S 11TH AVE, LAUREL, MS 39440-4314
(601) 426-2001
(601) 426-2002
Mailing address
PO BOX 2704, LAUREL, MS 39442-2704
(601) 426-2001
(601) 426-2002
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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