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Organization

DMC II INC

Active
Parent organization
DUTCH HEALTH SERVICES, INC.
Other names
Allegro Family Clinic of North Columbus
Organization subpart
Yes

Provider details

NPI number
Legal business name
DUTCH HEALTH SERVICES, INC.
Authorized official
JOSEPH GILLIS (OWNER)
(662) 327-5202
Entity
Organization

Contact information

Practice address
4508 HIGHWAY 45 N, COLUMBUS, MS 39705-2917
(662) 328-9702
(662) 328-0954
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2057

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13912
MS
208000000X
Pediatrics Physician
06164
MS
363LF0000X
Family Nurse Practitioner
876972
MS

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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