Southern Specialty Clinic, LLC
NPI #1730903113 in Flowood, Mississippi
Provider Information
- NPI Number
- 1730903113
- Entity Type
- Organization
- Organization Name
- Southern Specialty Clinic, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHERN SPECIALTY CLINIC, LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 12, 2024
- Last Updated
- Nov 12, 2024
Practice Location
- Address
- 803 LIBERTY RD
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9000
- Phone
- (601) 714-1967
Authorized Official
- Name
- DR. SHARON MARIE PENNINGTON, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (601) 985-8296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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