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1123 Highway 35 S Ste 3 Forest MS 39074-8829 | |
(601) 469-4771 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1123 Highway 35 S Ste 3, Forest, Mississippi |
Authorized Official Name and Position | John P Lee (CHAIRMAN OF THE BOARD) |
Authorized Official Contact | 6018496440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1123 Hwy. 35 South Forest MS 39074 Ph: () - | 1123 Highway 35 S Ste 3 Forest MS 39074-8829 Ph: (601) 469-4771 |
NPI Number | 1427500958 |
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Provider Enumeration Date | 11/01/2016 |
Last Update Date | 05/26/2020 |
Identifier | Type | State | Issuer |
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1427500958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10830 (Mississippi) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Forest Family Practice Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-4828 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Airport Rd, Forest, MS 39074 Phone: 601-469-4151 Fax: 601-469-3681 | |