Organization
ADVANCED MEDICAL REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C. BERRY (OWNER)
(662) 624-2466
Entity
Organization
Contact information
Practice address
1051 LEE DR, SUITE 1B, CLARKSDALE, MS 38614-3615
(662) 624-2466
(662) 624-4876
Mailing address
1051 LEE DRIVE, SUITE 1B, CLARKSDALE, MS 38614-3616
(662) 624-2466
(662) 624-4876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R659975
MS
Other
Enumeration date
06/13/2006
Last updated
08/22/2020
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