Ethan Collier, MD | |
404 Gilmore Dr, Amory, MS 38821-5414 | |
(662) 256-3564 | |
Not Available |
Full Name | Ethan Collier |
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Gender | Male |
Speciality | Family Medicine |
Location | 404 Gilmore Dr, Amory, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598389702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29558 (Mississippi) | Primary |
Entity Name | North Mississippi Medical Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
Entity Name | North Mississippi Gilmore Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225502370 PECOS PAC ID: 2961745195 Enrollment ID: O20190510000063 |
Mailing Address | Practice Location Address |
---|---|
Ethan Collier, MD 808 Varsity Dr, Tupelo, MS 38801-4613 Ph: () - | Ethan Collier, MD 404 Gilmore Dr, Amory, MS 38821-5414 Ph: (662) 256-3564 |
Dr. Laura Washington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 806 Earl Frye Blvd, Amory, MS 38821 Phone: 662-597-9000 Fax: 662-257-2083 | |
Dr. Stephen Scott Hathcock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1105 Earl Frye Blvd, Amory, MS 38821 Phone: 662-256-7111 Fax: 662-257-6775 | |
Clinton Washington, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Gilmore Dr, Amory, MS 38821 Phone: 662-256-3564 | |
Gerald L Parker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Gilmore Dr, Amory, MS 38821 Phone: 662-256-3564 |