| Gluckstadt Special Care Clinic | |
|
1716 Highway 51 Ste M Madison MS 39110-5020 | |
| (601) 707-5621 | |
| (601) 707-9052 |
| Full Name | Gluckstadt Special Care Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1716 Highway 51 Ste M, Madison, Mississippi |
| Authorized Official Name and Position | Karen M Conner (DIRECTOR OF CLIENT SOLUTIONS) |
| Authorized Official Contact | 3182557591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gluckstadt Special Care Clinic 1716 Highway 51 Ste M Madison MS 39110-5020 Ph: (601) 707-5621 | Gluckstadt Special Care Clinic 1716 Highway 51 Ste M Madison MS 39110-5020 Ph: (601) 707-5621 |
| NPI Number | 1003191867 |
|---|---|
| Provider Enumeration Date | 10/12/2011 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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