Leake Memorial Medical Clinic Walnut Grove

NPI #1053576819 in Walnut Grove, Mississippi

Provider Information

NPI Number
1053576819
Entity Type
Organization
Organization Name
Leake Memorial Medical Clinic Walnut Grove
Primary Specialty
General Acute Care Hospital - Rural
Enumeration Date
Jul 22, 2008
Last Updated
Jul 22, 2008

Practice Location

Address
110 PARK ST
ZIP Code
39189-6526
Phone
(601) 267-1400

Authorized Official

Name
KRISTI ESTEP
Title
OFFICE MANAGER
Phone
(601) 267-1400

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - RuralRural

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