Organization
CRAWFORD HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FELICIA DELORIS EDWARDS NURSE PRACTITIONER (MANAGING PARTNER)
(662) 435-7800
Entity
Organization
Contact information
Practice address
15865 HIGHWAY 14, MACON, MS 39341
(662) 435-7800
Mailing address
PO BOX 95, CRAWFORD, MS 39743-0095
(662) 435-7800
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
R740067
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03825275
—
MS
Enumeration date
09/19/2007
Last updated
03/08/2012
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