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Organization

PICAYUNE URGENT CARE CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNE WHITNEY (COO)
(707) 319-5068
Entity
Organization

Contact information

Practice address
422 MEMORIAL BLVD, PICAYUNE, MS 39466-5544
(601) 798-2151
(601) 798-2184
Mailing address
422 MEMORIAL BLVD, PICAYUNE, MS 39466-5544
(601) 798-2151
(601) 798-2184

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09921516
MS
Enumeration date
02/06/2007
Last updated
09/29/2025
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