OrganizationActive
4d Healthcare, LLC
NPI 1164129755 · Multi-Specialty Clinic/Center · Columbus, MS
Provider details
- NPI number
- 1164129755
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tanya Cockrell, Owner/Operator
Mailing address
1324 Military Rd
Columbus, MS 39701-3616
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2025-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.