Neshoba Family Medical Clinic

NPI 1003092818 - Pain Medicine - 208VP0000X

NPI Details
NPI 1003092818
Enumeration Date 01/11/2008
Last Updated 01/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MIKE MIKE
Position CFO
Phone (601) 656-6116
Fax (601) 656-5445
Practice Location
921 W BEACON ST
PHILADELPHIA MS, 39350-3229, US
Phone (601) 656-6116
Fax (601) 656-5445
Business Location
921 W BEACON ST
PHILADELPHIA MS, 39350-3229, US
Phone (601) 656-6116
Fax (601) 656-5445
Toxanomy
Taxonomy Code 208VP0000X
License State Mississippi
License Number 16407
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According to our database, Neshoba Family Medical Clinic NPI is 1003092818, taxonomy code is 208VP0000X and license number is 16407, license state is located at Mississippi. Neshoba Family Medical Clinic physically located at 921 W Beacon St, Philadelphia MS, 39350-3229. NPI Number 1033115704 has the healthcare provider type.

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1003092818 NPI number is provided on an as is basis without warranty of any kind. 1003092818 is maintained by the National Plan & Provider Enumeration System. The contents of Neshoba Family Medical Clinic are for informational purposes only.