Indianola Clinic, LLC

NPI #1902906258 in Leland, Mississippi

Provider Information

NPI Number
1902906258
Entity Type
Organization
Organization Name
Indianola Clinic, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Sep 25, 2006
Last Updated
Jul 21, 2022

Practice Location

Address
201 BAKER BLVD
City
Leland
ZIP Code
38756-3401
Phone
(662) 686-4121

Authorized Official

Name
HENRY MARLIN WOMACK JR.
Title
VP OF ADMINISTRATION
Phone
(662) 686-4121

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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