Chickasaw Fmc | |
518 West Dr Okolona MS 38860-1624 | |
(662) 447-2255 | |
Not Available |
Full Name | Chickasaw Fmc |
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Speciality | Family Medicine |
Location | 518 West Dr, Okolona, Mississippi |
Authorized Official Name and Position | Chris Dedeaux (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6222567112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chickasaw Fmc 123 Main St N Amory MS 38821-3416 Ph: () - | Chickasaw Fmc 518 West Dr Okolona MS 38860-1624 Ph: (662) 447-2255 |
NPI Number | 1710101902 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1710101902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |