Lakeland Primary Care Clinic

NPI 1235236340 - Family Medicine - 207Q00000X

NPI Details
NPI 1235236340
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name T. EMILE T. EMILE
Position OWNER
Phone (601) 664-9299
Fax (601) 664-9267
Practice Location
1040 RIVER OAKS DR
FLOWOOD MS, 39232-9530, US
Phone (601) 664-9299
Fax (601) 664-9267
Business Location
PO BOX 321016
FLOWOOD MS, 39232-1016, US
Phone (601) 664-9299
Fax (601) 664-9267
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Lakeland Primary Care Clinic NPI is 1235236340, taxonomy code is 207Q00000X Lakeland Primary Care Clinic physically located at 1040 River Oaks Dr, Flowood MS, 39232-9530. NPI Number 1033115704 has the healthcare provider type.

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1235236340 NPI number is provided on an as is basis without warranty of any kind. 1235236340 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeland Primary Care Clinic are for informational purposes only.