| Colin Sports Medicine | |
|
1028 Jc Redd Dr Wesson MS 39191-5020 | |
| (601) 643-8481 | |
| (972) 367-3451 |
| Full Name | Colin Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1028 Jc Redd Dr, Wesson, Mississippi |
| Authorized Official Name and Position | Mouzon Bass (AGENT) |
| Authorized Official Contact | 18005559073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Colin Sports Medicine 1028 Jc Redd Dr Wesson MS 39191-5020 Ph: (601) 643-8481 |
| NPI Number | 1548659097 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 01/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548659097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Wesson Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1096 Beech St, Wesson, MS 39191 Phone: 601-894-2514 Fax: 601-643-6009 |