Organization
SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Active
Other names
Family Medical Clinic of Okolona
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CEO)
(662) 456-3700
Entity
Organization
Contact information
Practice address
518 WEST DR, OKOLONA, MS 38860-1624
(662) 447-1405
(662) 447-1408
Mailing address
521 WEST DR, OKOLONA, MS 38860-1625
(662) 447-1405
(662) 447-1408
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07728748
—
MS
Enumeration date
11/27/2006
Last updated
01/18/2024
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