Nettleton Medical Express Care LLC

NPI #1518500677 in Nettleton, Mississippi

Provider Information

NPI Number: 1518500677
Entity Type: Organization
Organization Name: Nettleton Medical Express Care LLC
Primary Specialty: General Practice
Enumeration Date: Oct 22, 2019
Last Updated: Aug 19, 2020

Practice Location

Address: 7230 HIGHWAY 45 N STE B
Address 2: 32610 HWY 45 N
City: Nettleton
State: Mississippi
ZIP Code: 38858
Phone: (662) 416-3357

Authorized Official

Name: LEEANN BLAKE
Title: OFFICE MANAGER
Phone: (662) 963-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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