Relief Llc | |
102 N Burke Ave Long Beach MS 39560-4605 | |
(228) 284-2176 | |
Not Available |
Full Name | Relief Llc |
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Speciality | Family Medicine |
Location | 102 N Burke Ave, Long Beach, Mississippi |
Authorized Official Name and Position | Addison Sweebe (DIRECTOR) |
Authorized Official Contact | 2288068914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Relief Llc 102 N Burke Ave Long Beach MS 39560-4605 Ph: (228) 284-2176 | Relief Llc 102 N Burke Ave Long Beach MS 39560-4605 Ph: (228) 284-2176 |
NPI Number | 1922821123 |
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Provider Enumeration Date | 11/05/2024 |
Last Update Date | 11/05/2024 |
Medicare PECOS PAC ID | 5294256566 |
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Medicare Enrollment ID | O20250304001597 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922821123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Nathan D Boles |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1730277757 PECOS PAC ID: 0244295533 Enrollment ID: I20070322000405 |
Provider Name | Mallory Blakeslee |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1932516945 PECOS PAC ID: 0244549715 Enrollment ID: I20181102000958 |
Provider Name | Joan Leigh Murphy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609346634 PECOS PAC ID: 0143568683 Enrollment ID: I20190208000410 |
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