Calhoun Medical Clinic, Llc | |
5135 Hwy 84w Laurel MS 39443 | |
(601) 340-3544 | |
(601) 651-2926 |
Full Name | Calhoun Medical Clinic, Llc |
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Speciality | Family Medicine |
Location | 5135 Hwy 84w, Laurel, Mississippi |
Authorized Official Name and Position | Charlotte F Deloach (CFO) |
Authorized Official Contact | 6014332998 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Calhoun Medical Clinic, Llc 5135 Hwy 84w Laurel MS 39443 Ph: (601) 340-3544 | Calhoun Medical Clinic, Llc 5135 Hwy 84w Laurel MS 39443 Ph: (601) 340-3544 |
NPI Number | 1558713511 |
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Provider Enumeration Date | 07/01/2016 |
Last Update Date | 07/01/2016 |
Medicare PECOS PAC ID | 0941596084 |
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Medicare Enrollment ID | O20160915001795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558713511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14545 (Mississippi) | Primary |
Provider Name | Mark A Deloach |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679681894 PECOS PAC ID: 4880620566 Enrollment ID: I20050722000525 |
Provider Name | Stacey S Nix |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154598357 PECOS PAC ID: 3173699154 Enrollment ID: I20080828000290 |
Provider Name | Melissa A James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356664825 PECOS PAC ID: 4688704992 Enrollment ID: I20100614000255 |
Provider Name | Kenneth M Craven |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750325528 PECOS PAC ID: 9537299680 Enrollment ID: I20100616000255 |
Provider Name | Stephanie D Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003055005 PECOS PAC ID: 8820113715 Enrollment ID: I20100915000975 |
Provider Name | Kendall Thornton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134491806 PECOS PAC ID: 0840458592 Enrollment ID: I20120227000333 |
Provider Name | Michael D Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144532086 PECOS PAC ID: 2062674955 Enrollment ID: I20120511000011 |
Provider Name | Courtney J Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881227759 PECOS PAC ID: 8729419692 Enrollment ID: I20200508000405 |
Provider Name | Eva D Pate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093460099 PECOS PAC ID: 1355729708 Enrollment ID: I20220526000654 |
Sc Wound Care & Hyperbaric Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-426-4739 | |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 | |
Family Health Center Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Immediate Care - Laurel Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2313 Highway 15 N, Laurel, MS 39440 Phone: 601-649-2775 Fax: 601-649-2686 | |
South Central Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
South Central Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |