| Resolute Healthcare | |
|
4347 W Gay Rd Diberville MS 39540-3412 | |
| (228) 229-7989 | |
| Not Available |
| Full Name | Resolute Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4347 W Gay Rd, Diberville, Mississippi |
| Authorized Official Name and Position | Jillian M Ladner (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2282297989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Healthcare Po Box 6940 Diberville MS 39540-6901 Ph: (228) 243-7711 | Resolute Healthcare 4347 W Gay Rd Diberville MS 39540-3412 Ph: (228) 229-7989 |
| NPI Number | 1447803416 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447803416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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