Organization
NATCHEZ CLINIC COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
46 SGT PRENTISS DR, SUITE 103, NATCHEZ, MS 39120-4792
(601) 442-9654
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000051
—
MS
Enumeration date
08/12/2014
Last updated
01/28/2026
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