Geriatric Specialties LLC
NPI #1245508621 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1245508621
- Entity Type
- Organization
- Organization Name
- Geriatric Specialties LLC
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 188 W OXFORD ST
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-2006
- Phone
- (662) 983-0139
Authorized Official
- Name
- MICHAEL DON KING, RN
- Title
- SOLE MEMBER
- Phone
- (662) 983-0139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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