NPI 1003191867

Gluckstadt Special Care Clinic

Organisation Primary Care Clinic/Center Madison, MS

Practice location

Address: 1716 Highway 51 STE M, Madison, MS 39110-5020
Phone: (601) 707-5621
Fax: (601) 707-9052

Authorised official

Name: Karen M Conner
Title: Director of Client Solutions
Phone: (318) 255-7591

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1003191867
Entity type: Organization
NPI issued: 12 Oct 2011
Record last updated: 12 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.