Glover Primary Care Clinic

NPI 1063849578 - Clinic/Center - 261QP2300X

NPI Details
NPI 1063849578
Enumeration Date 09/28/2013
Last Updated 09/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SARITA SARITA
Position FAMILY NURSE PRACTITIONER/OWNER
Phone (662) 316-1334
Fax
Practice Location
403 NW DEPOT ST
DURANT MS, 39063-3705, US
Phone (662) 316-1334
Fax
Business Location
403 NW DEPOT ST
DURANT MS, 39063-3705, US
Phone (662) 316-1334
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Mississippi
License Number R856333
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According to our database, Glover Primary Care Clinic NPI is 1063849578, taxonomy code is 261QP2300X and license number is R856333, license state is located at Mississippi. Glover Primary Care Clinic physically located at 403 Nw Depot St, Durant MS, 39063-3705. NPI Number 1033115704 has the healthcare provider type.

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1063849578 NPI number is provided on an as is basis without warranty of any kind. 1063849578 is maintained by the National Plan & Provider Enumeration System. The contents of Glover Primary Care Clinic are for informational purposes only.