Family Medical Clinic Of North Ms Inc

NPI 1134174154 - Family Medicine - 207Q00000X

NPI Details
NPI 1134174154
Enumeration Date 05/24/2006
Last Updated 02/06/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT L ROBERT
Position VICE PRESIDENT
Phone (662) 890-5555
Fax (662) 890-8899
Practice Location
3451 GOODMAN RD
STE 115
SOUTHAVEN MS, 38672-9304, US
Phone (662) 890-5555
Fax (662) 890-8899
Business Location
3451 GOODMAN RD
STE 115
SOUTHAVEN MS, 38672-9304, US
Phone (662) 890-5555
Fax (662) 890-8899
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Family Medical Clinic Of North Ms Inc NPI is 1134174154, taxonomy code is 207Q00000X Family Medical Clinic Of North Ms Inc physically located at 3451 Goodman Rd, Southaven MS, 38672-9304. NPI Number 1033115704 has the healthcare provider type.

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1134174154 NPI number is provided on an as is basis without warranty of any kind. 1134174154 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medical Clinic Of North Ms Inc are for informational purposes only.