Amber Watson Malone, | |
178 Ms Hwy 24, Centreville, MS 39631-9049 | |
(601) 645-5361 | |
(601) 645-5788 |
Full Name | Amber Watson Malone |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 178 Ms Hwy 24, Centreville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851172316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 906127 (Mississippi) | Primary |
Entity Name | Field Memorial Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669818480 PECOS PAC ID: 0547248544 Enrollment ID: O20131014000541 |
Entity Name | Fast Pace Mississippi Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
Mailing Address | Practice Location Address |
---|---|
Amber Watson Malone, 6679 Ms Highway 567, Liberty, MS 39645-5285 Ph: () - | Amber Watson Malone, 178 Ms Hwy 24, Centreville, MS 39631-9049 Ph: (601) 645-5361 |
Mr. James Hawley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Highway 24 Ste A, Centreville, MS 39631 Phone: 601-890-0520 Fax: 601-645-5088 | |
Amber Smith Flowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Highway 24 E, Centreville, MS 39631 Phone: 601-890-0500 |