Organization
SOUTHERN CHARM FAMILY HEALTHCARE
Active
Other names
Southern Charm Family Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MARIE FOSTER NP-C (OWNER)
(601) 829-6151
Entity
Organization
Contact information
Practice address
1201 HIGHWAY 49 S STE 46, RICHLAND, MS 39218-9438
(601) 829-6151
(769) 241-0044
Mailing address
515 BELLE OAK PL, BRANDON, MS 39042-8111
(601) 829-6151
(769) 241-0044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00936767
—
MS
Enumeration date
03/17/2021
Last updated
12/08/2021
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