| Durrett Health Care Llc | |
|
1515 Munsford Dr New Albany MS 38652-7407 | |
| (662) 534-0046 | |
| Not Available |
| Full Name | Durrett Health Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 Munsford Dr, New Albany, Mississippi |
| Authorized Official Name and Position | Sandra Cousar Durrett (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6623165342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durrett Health Care Llc 651 Owen Rd New Albany MS 38652-9402 Ph: (662) 316-5342 | Durrett Health Care Llc 1515 Munsford Dr New Albany MS 38652-7407 Ph: (662) 534-0046 |
| NPI Number | 1023628245 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 2062822711 |
|---|---|
| Medicare Enrollment ID | O20201109000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023628245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sandra Cousar Durrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033195953 PECOS PAC ID: 2961674619 Enrollment ID: I20111003000109 |
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