Kdmc Pediatric Adolescent Clinic | |
509 Brookman Dr. Brookhaven MS 39601-2326 | |
(601) 823-5204 | |
Not Available |
Full Name | Kdmc Pediatric Adolescent Clinic |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 509 Brookman Dr., Brookhaven, Mississippi |
Authorized Official Name and Position | Scott Christensen (CEO) |
Authorized Official Contact | 6018359488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kdmc Pediatric Adolescent Clinic 427 Highway 51 N Brookhaven MS 39601-2350 Ph: (601) 835-9275 | Kdmc Pediatric Adolescent Clinic 509 Brookman Dr. Brookhaven MS 39601-2326 Ph: (601) 823-5204 |
NPI Number | 1275307902 |
---|---|
Provider Enumeration Date | 11/13/2023 |
Last Update Date | 11/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275307902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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