Divinity Pediatric Clinic, PLLC
Divinity Pediatric Clinic, PLLC is a Primary Care Clinic/Center in Pearl, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
200 Riverwind Dr Ste 104Pearl, MS 39208-5652
Phone: (601) 345-4044
Fax: (601) 510-9334
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1629741152 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rekita McCoy — Ceo · (601) 345-4044 |
| NPI enumerated | July 29, 2021 |
| Last updated in NPPES | September 3, 2022 |
| Certification date | September 3, 2022 |
| Mailing address | 463 Magnolia Pl, Brandon, MS 39042-8482 |
Other providers in Pearl
-
New Vision Pharmacy Pearl LLC
238 S Pearson Rd, Pearl, MS 39208-5637 · (601) 914-4848
-
Thrive Pediatrics PLLC
187 Doctors Dr, Pearl, MS 39208-4042 · (601) 573-9584