Charleston Clinic

LBN: Charleston Clinic
Charleston Clinic is an health care organization with primary practice located at 401 S Church St , Charleston MS 38921-2257. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as the primary health care specialty. Charleston Clinic can be contacted via phone (662) 647-5816, or through Bradham, Lisa Sudduth via phone (662) 647-5816.

Contact Information

Primary practice address
401 S Church St Charleston MS 38921-2257
Phone: (662) 647-5816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradham, Lisa Sudduth Family Nurse Practitioner (FNP)
Phone: (662) 647-5816

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X R865030 Mississippi

Profile Details

NPI number 1831329887
LBN Legal business name Charleston Clinic
DBA Doing business as
Authorized official Bradham, Lisa Sudduth Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 6th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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