Caledonia Community Clinic, LLC

NPI #1619552130 in Caledonia, Mississippi

Provider Information

NPI Number
1619552130
Entity Type
Organization
Organization Name
Caledonia Community Clinic, LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 16, 2021
Last Updated
Mar 16, 2021

Practice Location

Address
171 SOUTH ST
ZIP Code
39740-8587
Phone
(662) 855-0080

Authorized Official

Name
MS. LISA JORDAN HUDSON, NP
Title
FNP-C
Phone
(662) 251-3451

Specialties & Taxonomy Codes

Specialty
Family Medicine

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