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2514 67th Avenue Loop Ste 112 Meridian MS 39307-7260 | |
(601) 553-0707 | |
(601) 553-0775 |
Full Name | |
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Speciality | Family Medicine |
Location | 2514 67th Avenue Loop Ste 112, Meridian, Mississippi |
Authorized Official Name and Position | Richard J. Hightower (PRESIDENT) |
Authorized Official Contact | 6015536104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2124 14th St Meridian MS 39301-4040 Ph: (601) 553-6104 | 2514 67th Avenue Loop Ste 112 Meridian MS 39307-7260 Ph: (601) 553-0707 |
NPI Number | 1841598273 |
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Provider Enumeration Date | 03/09/2011 |
Last Update Date | 03/09/2011 |
Identifier | Type | State | Issuer |
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1841598273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |