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356 West Cherry Street Ackerman MS 39735 | |
(662) 285-3243 | |
(662) 285-3613 |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 356 West Cherry Street, Ackerman, Mississippi |
Authorized Official Name and Position | Gerald Kimbrough (CBO MANAGER) |
Authorized Official Contact | 6623774685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | 356 West Cherry Street Ackerman MS 39735 Ph: (662) 285-3243 |
NPI Number | 1972612984 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972612984 | NPI | - | NPPES |
02603868 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
Blissful Nursing And Mental Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900ms Highway 15, Ackerman, MS 39735 Phone: 662-387-7167 | |