Christ United Medical Clinic LLC

NPI #1689231367 in Louisville, Mississippi

Provider Information

NPI Number: 1689231367
Entity Type: Organization
Organization Name: Christ United Medical Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: May 28, 2019
Last Updated: Feb 11, 2021

Practice Location

Address: 2750 N CHURCH AVE
City: Louisville
State: Mississippi
ZIP Code: 39339-2054
Phone: (662) 446-9012

Authorized Official

Name: ALYSSA CAMERON WHITEHEAD, FNP-C
Title: FNP-C, CLINIC ADMINISTRATOR
Phone: (662) 446-9012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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