Provider Demographics
NPI:1437373164
Name:CURL & CLARK LLC
Entity Type:Organization
Organization Name:CURL & CLARK LLC
Other - Org Name:BRAME AND WRIGHT MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:662-252-9987
Mailing Address - Street 1:POST OFFICE BOX 155
Mailing Address - Street 2:153A SOUTH MARKET STREET
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635
Mailing Address - Country:US
Mailing Address - Phone:662-252-9987
Mailing Address - Fax:662-252-7517
Practice Address - Street 1:153A SOUTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635
Practice Address - Country:US
Practice Address - Phone:662-252-9987
Practice Address - Fax:662-252-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS9015191Medicaid
C02522OtherMEDICARE