| Convenient Care Of Fulton Inc | |
|
1301 S Adams St Fulton MS 38843-8862 | |
| (662) 862-4422 | |
| (662) 862-4244 |
| Full Name | Convenient Care Of Fulton Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 S Adams St, Fulton, Mississippi |
| Authorized Official Name and Position | Brain D Mccoy (OWNER) |
| Authorized Official Contact | 6628624422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Care Of Fulton Inc 1301 S Adams St Fulton MS 38843-8862 Ph: (662) 862-4422 | Convenient Care Of Fulton Inc 1301 S Adams St Fulton MS 38843-8862 Ph: (662) 862-4422 |
| NPI Number | 1932453610 |
|---|---|
| Provider Enumeration Date | 11/02/2012 |
| Last Update Date | 11/02/2012 |
| Medicare PECOS PAC ID | 1355589193 |
|---|---|
| Medicare Enrollment ID | O20130606000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932453610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy J Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720095896 PECOS PAC ID: 0143280214 Enrollment ID: I20041013000545 |
| Provider Name | Natalie W Heckart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649674342 PECOS PAC ID: 3678892924 Enrollment ID: I20150507001968 |
| Provider Name | Michelle G Briley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789387 PECOS PAC ID: 7315369840 Enrollment ID: I20200629003693 |
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