Organization · Type 2 NPI

Gluckstadt Special Care Clinic

Primary Care Clinic/Center · Madison, MS

NPI number 1003191867 Active

Practice location

1716 Highway 51 Ste M
Madison, MS 39110-5020

Fax (601) 707-9052

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1003191867

Gluckstadt Special Care Clinic's National Provider Identifier is 1003191867, issued on Oct 12, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Madison, MS. The record was last updated on Oct 12, 2011.