Organization
TALLAHATCHIE GENERAL HOSPITAL
Active
Other names
Holcomb Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CROCKER (HIM DIRECTOR)
(662) 625-7176
Entity
Organization
Contact information
Practice address
1301 SUNSET DR STE E, GRENADA, MS 38901-4103
(662) 229-9787
(662) 229-9770
Mailing address
PO BOX 230, CHARLESTON, MS 38921-0240
(662) 647-5535
(662) 647-8432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05820575
—
MS
Enumeration date
02/20/2015
Last updated
12/16/2024
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