Wal-Mart Stores East Lp
Specialty details in registry · Mantachie, MS
At a glance
2795 Highway 371 N, Mantachie, MS 38855-9114
NPPES record updated Dec 29, 2015. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2795 Highway 371 NMantachie, MS 38855-9114
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 3336C0003X
- Enumeration date
- Aug 22, 2014
- Record updated
- Dec 29, 2015
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
332B00000X
Specialty details in registry
3336C0003X · Primary
License reported: 13593/ 1.2 MS
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2795 Highway 371 NMantachie, MS 38855-9114
- Phone
- (662) 282-4180
- Fax
- (662) 282-4182
Mailing address
702 SW 8TH STBENTONVILLE, AR 727160445
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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