Excellence Concierge Medicine LLC
NPI #1124718366 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1124718366
- Entity Type
- Organization
- Organization Name
- Excellence Concierge Medicine LLC
- Primary Specialty
- Nurse Practitioner - Community Health
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
Practice Location
- Address
- 7712 KERI CV
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-5049
- Phone
- (901) 832-6805
Authorized Official
- Name
- MRS. MIRANDA D WHITE, FNP
- Title
- FNP/CEO
- Phone
- (901) 832-6805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Community Health — Community Health |
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