| Bonita C. Musial | |
|
314 Main Street Suite D Monticello MS 39654-0949 | |
| (601) 587-2785 | |
| (601) 587-7799 |
| Full Name | Bonita C. Musial |
|---|---|
| Speciality | Family Medicine |
| Location | 314 Main Street, Monticello, Mississippi |
| Authorized Official Name and Position | Bonita C. Musial (SOLO PRACTITIONER) |
| Authorized Official Contact | 6015872785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita C. Musial Po Box 949 314 Main Street, Suite D Monticello MS 39654-0949 Ph: (601) 587-2785 | Bonita C. Musial 314 Main Street Suite D Monticello MS 39654-0949 Ph: (601) 587-2785 |
| NPI Number | 1144370552 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144370552 | NPI | - | NPPES |
| 00117007 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13704 (Mississippi) | Primary |
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