Organization
EXPRESS CARE OF CLEVELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOWEN (MANAGER)
(662) 579-3958
Entity
Organization
Contact information
Practice address
609 N DAVIS AVE STE 105, CLEVELAND, MS 38732-2379
(662) 579-3958
(866) 962-6149
Mailing address
31 COUNTY ROAD 328, OXFORD, MS 38655
(662) 816-8999
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09707705
—
MS
Enumeration date
11/01/2018
Last updated
06/14/2023
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