Provider Demographics
NPI:1336310077
Name:CORINTH PULMONARY CLINIC AND REHABILITATION, PA
Entity Type:Organization
Organization Name:CORINTH PULMONARY CLINIC AND REHABILITATION, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-286-1901
Mailing Address - Street 1:209 N HARPER RD
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-5271
Mailing Address - Country:US
Mailing Address - Phone:662-286-1901
Mailing Address - Fax:662-286-3721
Practice Address - Street 1:209 N HARPER RD
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-5271
Practice Address - Country:US
Practice Address - Phone:662-286-1901
Practice Address - Fax:662-286-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty