Organization
PEDIATRIC & ADOLESCENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A TIMM MD (MEDICAL DIRECTOR)
(601) 442-7676
Entity
Organization
Contact information
Practice address
107 N MARTIN LUTHER KING JR ST, NATCHEZ, MS 39120-3356
(601) 442-7676
(601) 442-9590
Mailing address
308 HIGHLAND BLVD, NATCHEZ, MS 39120-4611
(601) 442-7676
(601) 442-9590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
10/27/2025
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