Organization Name: | QUICK QUALITY CARE OR MISSISSIPPI, LLCDBA CHECKUPS |
NPI Number: | 1033288345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOANNA R. MCCOLLUM (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 1309 Highway 35 S Forest |
State: | MS US |
Postal Code: | 390745010 |
Phone Number: | 6014699999 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | R859382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |