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Organization

OUCH URGENT CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER KATHRYN WAKEFORD (ENTERPRISE CFO)
(205) 901-5103
Entity
Organization

Contact information

Practice address
1710 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 840-6824
Mailing address
1710 N GLOSTER ST, TUPELO, MS 38804-1216
(662) 840-6824
(833) 740-3625

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09229002
MS
Enumeration date
07/29/2015
Last updated
10/16/2025
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