University Family Medicine Associates, Pllc

NPI 1093913634 - Clinic/Center - 261Q00000X

NPI Details
NPI 1093913634
Enumeration Date 07/05/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DIANE DIANE
Position CHAIRMAN
Phone (601) 984-5404
Fax (601) 815-3771
Practice Location
1410 E WOODROW WILSON AVE
JACKSON MS, 39216-5114, US
Phone (601) 984-5404
Fax (601) 815-3771
Business Location
PO BOX 4999
JACKSON MS, 39296-4999, US
Phone (601) 984-5404
Fax (601) 815-3771
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1093913634 NPI Number
 

According to our database, University Family Medicine Associates, Pllc NPI is 1093913634, taxonomy code is 261Q00000X University Family Medicine Associates, Pllc physically located at 1410 E Woodrow Wilson Ave, Jackson MS, 39216-5114. NPI Number 1033115704 has the healthcare provider type.

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1093913634 NPI number is provided on an as is basis without warranty of any kind. 1093913634 is maintained by the National Plan & Provider Enumeration System. The contents of University Family Medicine Associates, Pllc are for informational purposes only.