Organization
PLANTERSVILLE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA W HILL CFNP (SECRETARY)
(662) 842-4877
Entity
Organization
Contact information
Practice address
2464 MAIN ST., PLANTERSVILLE, MS 38862
(662) 842-4877
Mailing address
PO BOX 219, PLANTERSVILLE, MS 38862-0219
(662) 842-4877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R713511
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02853062
—
MS
Enumeration date
11/22/2006
Last updated
07/21/2011
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