NPI 1053576819
Leake Memorial Medical Clinic Walnut Grove
Practice location
- Address
- 110 Park St, Walnut Grove, MS 39189-6526
- Phone
- (601) 267-1400
- Fax
- (601) 253-9464
- Mailing address
- PO Box 367, Walnut Grove, MS 39189-0367
Authorised official
- Name
- Kristi Estep
- Title
- Office Manager
- Phone
- (601) 267-1400
Registered specialties
Rural Acute Care Hospital
Primary
Registry record
- NPI
- 1053576819
- Entity type
- Organization
- NPI issued
- 22 Jul 2008
- Record last updated
- 22 Jul 2008
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.