Organization
TOTAL CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY (OWNER)
(601) 849-6440
Entity
Organization
Contact information
Practice address
526 DEERFIELD DR., FOREST, MS 39074-9999
(601) 469-0291
(601) 469-0347
Mailing address
526 DEERFIELD DR., FOREST, MS 39074-9999
(601) 469-0291
(601) 469-0347
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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