NETTLETON MEDICAL EXPRESS CARE LLC (NPI# 1518500677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518500677 |
| Entity Type | Organization |
| Organization Name | NETTLETON MEDICAL EXPRESS CARE LLC |
| Practice Address |
7230 Highway 45 N Ste B 32610 Hwy 45 N Nettleton MS 38858 |
| Mailing Address |
7230 Highway 45 N Ste B Nettleton MS 38858-9399 |
| Practice Telephone | 6624163357 |
| Practice Fax Number | 6622563131 |
| Mailing Telephone | 6629630500 |
| Mailing Fax Number | 6629630499 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | LEEANN BLAKE (OFFICE MANAGER) |
| Authorized Official Telephone | 6629630500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
7230 HIGHWAY 45 N STE B 32610 HWY 45 N |
| City | NETTLETON |
| State | MS |
| Zip Code | 38858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930537 | Michael Anthony Mcbryde | Physical Therapist | 230 Main St., Suite A, Nettleton, MS 38858 | 2018-08-01 |
| 1952813677 | Raquel Ziegler | Physical Therapist | 230-a Main St., Nettleton, MS 38858 | 2017-11-03 |
| 1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
| 1902925340 | John T Hall | Pharmacist | 174a Young Ave, Nettleton, MS 38858 | 2007-03-28 |
| 1063463677 | Sally Lawson Morgan | Nurse Practitioner | 182 W Main St, Nettleton, MS 38858 | 2006-05-16 |
| 1174591044 | Deborra Cassandra Lee | Counselor | 134 Morgan Circle, Nettleton, MS 38858 | 2006-03-08 |
| 1215913074 | Cynthia J Rushing | Nurse Practitioner | 4929 Hwy 351 S, Nettleton, MS 38858 | 2005-12-22 |
| 1295972644 | W. A. Thames, Dmd | Dentist | 228 Main Street, Box 388, Nettleton, MS 38858 | 2009-01-07 |
| 1386868719 | Nettleton Family Clinic | Family Medicine | 182 West Main St, Nettleton, MS 38858 | 2007-04-13 |
| 1104914431 | Walter Andrews Thames Jr. | Dentist | 228 Main Street, Nettleton, MS 38858 | 2006-10-11 |
| Find all providers in zip 38858 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.