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351 Peoples Dr Pontotoc MS 38863-8990 | |
(662) 432-0782 | |
(662) 350-0887 |
Full Name | |
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Speciality | Clinic/Center |
Location | 351 Peoples Dr, Pontotoc, Mississippi |
Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
Authorized Official Contact | 2192284355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | 351 Peoples Dr Pontotoc MS 38863-8990 Ph: (662) 432-0782 |
NPI Number | 1700477015 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 0244505840 |
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Medicare Enrollment ID | O20210215001546 |
Identifier | Type | State | Issuer |
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1700477015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Redmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044 | |
Flavia H West Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |