Pine Ridge Family Clinic, LLC
NPI #1366075236 in Collins, Mississippi
Provider Information
- NPI Number
- 1366075236
- Entity Type
- Organization
- Organization Name
- Pine Ridge Family Clinic, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Jul 13, 2020
Practice Location
- Address
- 3248 HIGHWAY 49
- City
- Collins
- State
- Mississippi
- ZIP Code
- 39428
- Phone
- (601) 800-8580
Authorized Official
- Name
- MARLANA P. HEDGEPETH, FNP
- Title
- OWNER
- Phone
- (601) 765-6834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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