| Family Care Magee | |
|
360 Simpson Highway 149 Ste 170 Magee MS 39111-3840 | |
| (601) 439-0635 | |
| Not Available |
| Full Name | Family Care Magee |
|---|---|
| Speciality | Clinic/Center |
| Location | 360 Simpson Highway 149 Ste 170, Magee, Mississippi |
| Authorized Official Name and Position | Anissa L Evans (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 6016980328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Magee 701 S Holly Ave Collins MS 39428-3894 Ph: (601) 439-0635 | Family Care Magee 360 Simpson Highway 149 Ste 170 Magee MS 39111-3840 Ph: (601) 439-0635 |
| NPI Number | 1346822772 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 08/06/2021 |
| Medicare PECOS PAC ID | 4183517253 |
|---|---|
| Medicare Enrollment ID | O20210813000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346822772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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