Provider Demographics
NPI:1124137062
Name:DOCTORS URGENT CARE, LLC
Entity type:Organization
Organization Name:DOCTORS URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FITZHUGH
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-833-9912
Mailing Address - Street 1:439 N JACKSON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROOKHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:39601-2952
Mailing Address - Country:US
Mailing Address - Phone:601-833-9912
Mailing Address - Fax:
Practice Address - Street 1:439 N JACKSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:BROOKHAVEN
Practice Address - State:MS
Practice Address - Zip Code:39601-2952
Practice Address - Country:US
Practice Address - Phone:601-833-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty