| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1207 Broadway S, Shelby, Mississippi |
| Authorized Official Name and Position | Barbara Conway (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6623573883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 167 Shelby MS 38774-0167 Ph: () - | 1207 Broadway S Shelby MS 38774 Ph: (662) 357-3883 |
| NPI Number | 1235841412 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235841412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Making Moves In The Community, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Martin Luther King, Shelby, MS 38774 Phone: 662-402-1098 | |
Spann Senses, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 North Broadway, Shelby, MS 38774 Phone: 662-545-7243 | |