Charleston Clinic
Charleston Clinic provides Community Health Nurse Practitioner services in Charleston, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.
- Licensed in
- MS
- In the registry since
- 2009
Practice location Address checks out
401 S Church StCharleston, MS 38921-2257 Not confirmed with CMS for 15 years — call before visiting
Phone: (662) 647-5816
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Nurse Practitioner (primary) | Taxonomy 363LC1500X · Licence R865030 (MS) |
|---|
Record details
| NPI number | 1831329887 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Bradham — Nurse Practitioner · (662) 647-5816 |
| NPI enumerated | July 23, 2009 |
| Last updated in NPPES | July 6, 2011 |
| Mailing address | P. O. Box 21, Charleston, MS 38921 |