| East-end Family Medical Clinic, Llc | |
|
140 North St Cleveland MS 38732-2744 | |
| (662) 545-4674 | |
| (662) 545-4715 |
| Full Name | East-end Family Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 140 North St, Cleveland, Mississippi |
| Authorized Official Name and Position | Cassandra Latasha Shepard (CO-OWNER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6627218036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East-end Family Medical Clinic, Llc 140 North St Cleveland MS 38732-2744 Ph: (662) 545-4674 | East-end Family Medical Clinic, Llc 140 North St Cleveland MS 38732-2744 Ph: (662) 545-4674 |
| NPI Number | 1780450619 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780450619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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