institution
Indianola Clinic, Llc
Multi-Specialty Clinic/Center in Leland, Mississippi
NPI 1942758131

Indianola Clinic, Llc is a Multi-Specialty Clinic/Center based in Leland, MS and is specialized in Multi-Specialty. Indianola Clinic, Llc practices in Leland, MS. The NPI Number for Indianola Clinic, Llc is 1942758131 and holds a License No. (Mississippi).

The current practice location address for Indianola Clinic, Llc is 201 Baker Blvd, Leland, MS and can be reached out via phone at 662-686-4121 and via fax at 662-686-4770.

Location: 201 Baker Blvd, Leland, MS, 38756-3401
institution
Provider Profile Details
NPI Number
1942758131
Provider Name
Indianola Clinic, Llc
Credential
Provider Entity Type
Organization
Address
201 Baker Blvd, Leland, MS, 38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
Provider Enumeration Date
09/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09016086 05 MS
institution
Provider Business Practice Location Address Details
Address
201 Baker Blvd
City
State
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider Business Mailing Address Details
Address
201 Baker Blvd
City
State
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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