| Organization Name: | NATCHEZ AFTER HOURS CLINIC, P.L.L.C. |
| NPI Number: | 1982634051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BLANE ANDREW MIRE (OWNER) |
| Mailing Address: | 46 Seargent Prentess Drive Suite 101 Natchez |
| State: | MS US |
| Postal Code: | 391204725 |
| Phone Number: | 6014421900 |
| Fax Number: | 6014421908 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15913 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |