Organization · NPI-2

Adeline After-Hour Care, LLC

Family Medicine · Hattiesburg, MS

NPI number1871829929
StatusActive
Last updated in NPPESOct 26, 2009

Details

NPI
1871829929
Entity type
Organization (NPI-2)
Legal business name
Adeline After-Hour Care, LLC
Organization subpart
No
Enumeration date
Oct 26, 2009
Last updated
Oct 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine19875MSYes

Practice location

1307 Adeline St
Hattiesburg, MS 39401-5028

Phone 601-336-7575

Mailing address

1307 Adeline St
Hattiesburg, MS 39401-5028

Phone 601-336-7575

Authorized official

Ikechukwu Okorie
Owner
3054797945

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