Organization
EXPRESS CARE OF FULTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L CURBOW (OFFICE MANAGER)
(662) 862-9040
Entity
Organization
Contact information
Practice address
202 INTERCHANGE DR, FULTON, MS 38843-6011
(662) 862-9040
(662) 862-9091
Mailing address
202 INTERCHANGE DR, 204 INTERCHANGE DRIVE, FULTON, MS 38843-6011
(662) 862-9040
(662) 862-9091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015389
—
MS
Enumeration date
05/16/2007
Last updated
01/14/2010
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