| East Mississippi Medical Clinic | |
|
9425 Eastside Drive Ext Suit A Newton MS 39345-8068 | |
| (601) 635-3333 | |
| (601) 653-3330 |
| Full Name | East Mississippi Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9425 Eastside Drive Ext, Newton, Mississippi |
| Authorized Official Name and Position | Razee Ameir Ahmad (OWNER) |
| Authorized Official Contact | 6019170810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mississippi Medical Clinic Po Box 3189 Meridian MS 39303-3189 Ph: (601) 635-3333 | East Mississippi Medical Clinic 9425 Eastside Drive Ext Suit A Newton MS 39345-8068 Ph: (601) 635-3333 |
| NPI Number | 1497096036 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 06/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497096036 | NPI | - | NPPES |
| 04278332 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14494 (Mississippi) | Primary |
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