Indianola Clinic, LLC
NPI #1942758131 in Leland, Mississippi
Provider Information
- NPI Number
- 1942758131
- Entity Type
- Organization
- Organization Name
- Indianola Clinic, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 15, 2016
- Last Updated
- Feb 10, 2017
Practice Location
- Address
- 201 BAKER BLVD
- City
- Leland
- State
- Mississippi
- ZIP Code
- 38756-3401
- Phone
- (662) 686-4121
Authorized Official
- Name
- EMILY A MCCAIN
- Title
- ADMIN. ASST. & CREDENTIALING
- Phone
- (662) 686-3916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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