| East Mississippi Community College | |
|
1512 Kemper St Scooba MS 39358-7601 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | East Mississippi Community College |
|---|---|
| Speciality | General Practice |
| Location | 1512 Kemper St, Scooba, Mississippi |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mississippi Community College 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | East Mississippi Community College 1512 Kemper St Scooba MS 39358-7601 Ph: (972) 367-4845 |
| NPI Number | 1043780836 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 12/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043780836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Scooba Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 927 Kemper St, Scooba, MS 39358 Phone: 662-476-9595 Fax: 844-778-8922 |