NPI 1689231367
Christ United Medical Clinic LLC
Practice location
- Address
- 2750 N Church Ave, Louisville, MS 39339-2054
- Phone
- (662) 446-9012
- Fax
- (662) 446-9432
- Mailing address
- 9573 Highway 490, Louisville, MS 39339-9192
Authorised official
- Name
- Alyssa Cameron Whitehead
- Title
- Fnp-C, Clinic Administrator
- Phone
- (662) 446-9012
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1689231367
- Entity type
- Organization
- NPI issued
- 28 May 2019
- Record last updated
- 11 Feb 2021
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.