Organization
PETAL URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNE NICHOLE WHITNEY (COO/PRESIDENT)
(707) 319-5068
Entity
Organization
Contact information
Practice address
1272 EVELYN GANDY PKWY STE 60, PETAL, MS 39465-3953
(707) 319-5068
(601) 602-4681
Mailing address
PO BOX 1248, OCEAN SPRINGS, MS 39566-1248
(601) 336-5393
(601) 602-4681
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03704755
—
MS
Enumeration date
01/06/2011
Last updated
10/02/2025
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