Organization
PATIENTS CHOICE MEDICAL CENTER OF CLAIBORNE COUNTY, LLC
Active
Other names
Team Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ELSTON C KEMP (CEO)
(662) 840-0196
Entity
Organization
Contact information
Practice address
123 MCCOMB AVE, PORT GIBSON, MS 39150-2915
(601) 437-5141
(601) 437-3782
Mailing address
123 MCCOMB AVE, PORT GIBSON, MS 39150-2915
(601) 437-5141
(601) 437-3782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013195
—
MS
05
—
09013196
—
MS
05
—
09013197
—
MS
Enumeration date
12/02/2008
Last updated
06/14/2012
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