| Clarksdale Fam Med Center | |
|
1209 Lee Dr Clarksdale MS 38614-3320 | |
| (662) 326-3500 | |
| (662) 326-7077 |
| Full Name | Clarksdale Fam Med Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1209 Lee Dr, Clarksdale, Mississippi |
| Authorized Official Name and Position | Lonnie Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6623263500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksdale Fam Med Center Po Box 289 Marks MS 38646-0289 Ph: (662) 398-5111 | Clarksdale Fam Med Center 1209 Lee Dr Clarksdale MS 38614-3320 Ph: (662) 326-3500 |
| NPI Number | 1467949941 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467949941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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