Healthcare Provider Details

I. General information

NPI: 1588496830
Provider Name (Legal Business Name): PHYSICIANS URGENT CARE OF CORINTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 GETWELL RD STE 1
CORINTH MS
38834-6762
US

IV. Provider business mailing address

2601 GETWELL RD STE 1
CORINTH MS
38834-6762
US

V. Phone/Fax

Practice location:
  • Phone: 662-287-7138
  • Fax: 662-287-7157
Mailing address:
  • Phone: 662-287-7138
  • Fax: 662-287-7157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LAURIE A. DUNCAN
Title or Position: VP OF REVENUE
Credential:
Phone: 678-332-6122