West Union Family Clinic

NPI 1558670802 - Clinic/Center - 261QP2300X

NPI Details
NPI 1558670802
Enumeration Date 10/05/2010
Last Updated 10/05/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DENISE DENISE
Position NURSE PRACTIONER
Phone (662) 333-6387
Fax (663) 333-9339
Practice Location
1561 ST HWY 30 W
NEW ALBANY MS, 38652, US
Phone (662) 333-6387
Fax (663) 333-9339
Business Location
PO BOX 5
HICKORY FLAT MS, 38633-0005, US
Phone (662) 333-6387
Fax (663) 333-9339
Toxanomy
Taxonomy Code 261QP2300X
License State Mississippi
License Number R687235
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According to our database, West Union Family Clinic NPI is 1558670802, taxonomy code is 261QP2300X and license number is R687235, license state is located at Mississippi. West Union Family Clinic physically located at 1561 St Hwy 30 W, New Albany MS, 38652. NPI Number 1033115704 has the healthcare provider type.

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1558670802 NPI number is provided on an as is basis without warranty of any kind. 1558670802 is maintained by the National Plan & Provider Enumeration System. The contents of West Union Family Clinic are for informational purposes only.