Healthcare Provider Details

I. General information

NPI: 1235669136
Provider Name (Legal Business Name): MAXEM HEALTH URGENT CARE MAGEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1529 HIGHWAY 49 S SUITE A
MAGEE MS
39111
US

IV. Provider business mailing address

PO BOX 1248
OCEAN SPRINGS MS
39566-1248
US

V. Phone/Fax

Practice location:
  • Phone: 228-223-1927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIANNE WHITNEY
Title or Position: COO/PRESIDENT
Credential:
Phone: 228-223-1927