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Highway 475 South Whitfield MS 39193 | |
(601) 664-6000 | |
(601) 354-6945 |
Full Name | |
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Speciality | Dentist |
Location | Highway 475 South, Whitfield, Mississippi |
Authorized Official Name and Position | John P Lipscomb (DIRECTOR) |
Authorized Official Contact | 6016646000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 127b Whitfield MS 39193-1032 Ph: (601) 664-6000 | Highway 475 South Whitfield MS 39193 Ph: (601) 664-6000 |
NPI Number | 1114210630 |
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Provider Enumeration Date | 05/17/2011 |
Last Update Date | 05/17/2011 |
Identifier | Type | State | Issuer |
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1114210630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |