Organization
TOTAL LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PRECIA PEDERSEN (OFFICE MANAGER)
(601) 544-0029
Entity
Organization
Contact information
Practice address
301 W PINE ST, HATTIESBURG, MS 39401-3829
(601) 544-0029
(601) 544-0780
Mailing address
301 W PINE ST, HATTIESBURG, MS 39401-3829
(601) 544-0029
(601) 544-0780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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