Associated Family Medical, Llc

NPI 1194054304 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1194054304
Enumeration Date 12/17/2009
Last Updated 12/17/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TINA D TINA
Position OWNER
Phone (662) 560-5966
Fax (662) 560-5969
Practice Location
4364 HIGHWAY 51 S
SENATOBIA MS, 38668-2534, US
Phone (662) 560-5966
Fax (662) 560-5969
Business Location
4364 HIGHWAY 51 S
SENATOBIA MS, 38668-2534, US
Phone (662) 560-5966
Fax (662) 560-5969
Toxanomy
Taxonomy Code 363L00000X
License State Mississippi
License Number R676276
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According to our database, Associated Family Medical, Llc NPI is 1194054304, taxonomy code is 363L00000X and license number is R676276, license state is located at Mississippi. Associated Family Medical, Llc physically located at 4364 Highway 51 S, Senatobia MS, 38668-2534. NPI Number 1033115704 has the healthcare provider type.

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1194054304 NPI number is provided on an as is basis without warranty of any kind. 1194054304 is maintained by the National Plan & Provider Enumeration System. The contents of Associated Family Medical, Llc are for informational purposes only.