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155 Keating Rd Batesville MS 38606-2901 | |
(662) 561-4013 | |
(662) 561-4060 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 155 Keating Rd, Batesville, Mississippi |
Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
Authorized Official Contact | 2395983131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | 155 Keating Rd Batesville MS 38606-2901 Ph: (662) 561-4013 |
NPI Number | 1376835603 |
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Provider Enumeration Date | 05/04/2011 |
Last Update Date | 11/26/2012 |
Identifier | Type | State | Issuer |
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1376835603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Region Iv Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Randy Hendrix Dr, Batesville, MS 38606 Phone: 662-563-9176 Fax: 662-563-7384 | |