Provider Demographics
NPI:1740011907
Name:PHYSICIANS URGENT CARE OF CORINTH
Entity type:Organization
Organization Name:PHYSICIANS URGENT CARE OF CORINTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-332-6122
Mailing Address - Street 1:2601 GETWELL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-6762
Mailing Address - Country:US
Mailing Address - Phone:678-332-6122
Mailing Address - Fax:
Practice Address - Street 1:1002 N 2ND ST
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38829-1314
Practice Address - Country:US
Practice Address - Phone:662-340-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health