4d Healthcare, LLC
NPI #1164129755 in Columbus, Mississippi
Provider Information
- NPI Number
- 1164129755
- Entity Type
- Organization
- Organization Name
- 4d Healthcare, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Apr 25, 2025
Practice Location
- Address
- 1324 MILITARY RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39701-3616
- Phone
- (662) 630-5001
Authorized Official
- Name
- MRS. TANYA S COCKRELL, FNP-BC, PMHNP-BC
- Title
- OWNER/OPERATOR
- Phone
- (662) 630-5001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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