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745 South 4th Street Baldwyn MS 38824 | |
(662) 365-4100 | |
(662) 365-4115 |
Full Name | |
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Speciality | Family Medicine |
Location | 745 South 4th Street, Baldwyn, Mississippi |
Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
Authorized Official Contact | 6623774229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-3204 | 745 South 4th Street Baldwyn MS 38824 Ph: (662) 365-4100 |
NPI Number | 1700988037 |
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Provider Enumeration Date | 09/05/2006 |
Last Update Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700988037 | NPI | - | NPPES |
009013461 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Waters Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Mill St, Baldwyn, MS 38824 Phone: 662-365-3253 Fax: 662-365-3484 | |