Organization
SPECIALTY CARE EXTENDED HOURS CLINIC LLC
Active
Other names
Specialty Care Extended Hours Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE D MCKAY (CHIEF EXECUTIVE OFFICER)
(901) 634-8641
Entity
Organization
Contact information
Practice address
5600 GOODMAN RD, SUITE D, OLIVE BRANCH, MS 38654-7002
(901) 634-8641
(662) 420-7147
Mailing address
5600 GOODMAN RD, SUITE D, OLIVE BRANCH, MS 38654-7002
(901) 634-8641
(662) 420-7147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
01/14/2015
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