institution
Line Street Medical, Llc
Family Nurse Practitioner in Philadelphia, Mississippi
NPI 1821560327

Line Street Medical, Llc is a Family Nurse Practitioner based in Philadelphia, MS and is specialized in Family. Line Street Medical, Llc practices in Philadelphia, MS. The NPI Number for Line Street Medical, Llc is 1821560327 and holds a License No. (Mississippi).

The current practice location address for Line Street Medical, Llc is 562 Line St S Ste 1, Philadelphia, MS and can be reached out via phone at 601-562-6363.

Location: 562 Line St S Ste 1, Philadelphia, MS, 39350-2144
institution
Provider Profile Details
NPI Number
1821560327
Provider Name
Line Street Medical, Llc
Credential
Provider Entity Type
Organization
Address
562 Line St S Ste 1, Philadelphia, MS, 39350-2144
Phone Number
601-562-6363
Fax Number
Provider Enumeration Date
12/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00724810 05 MS
institution
Provider Business Practice Location Address Details
Address
562 Line St S Ste 1
City
State
Zip
39350-2144
Phone Number
601-562-6363
Fax Number
person
Provider Business Mailing Address Details
Address
562 Line St S Ste 1
City
State
Zip
39350-2144
Phone Number
601-562-6363
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
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Definition
Definition to come...
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