Iuka Town Clinic, LLC
NPI #1518237932 in Iuka, Mississippi
Provider Information
- NPI Number
- 1518237932
- Entity Type
- Organization
- Organization Name
- Iuka Town Clinic, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 2, 2012
- Last Updated
- Mar 9, 2012
Practice Location
- Address
- 109 E QUITMAN ST
- Address 2
- SUITE A
- City
- Iuka
- State
- Mississippi
- ZIP Code
- 38852-1936
- Phone
- (662) 423-5007
Authorized Official
- Name
- MARY SHAREE TILL
- Title
- OWNER
- Phone
- (662) 423-5007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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