| Evergreen Family Medical Clinic Inc | |
|
4929 Highway 371 S Nettleton MS 38858-6901 | |
| (662) 963-9154 | |
| (662) 963-9157 |
| Full Name | Evergreen Family Medical Clinic Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4929 Highway 371 S, Nettleton, Mississippi |
| Authorized Official Name and Position | Cynthia Jeanesse Rushing (CFNP/OWNER) |
| Authorized Official Contact | 6629639154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Medical Clinic Inc 4929 Highway 371 S Nettleton MS 38858-6901 Ph: (662) 963-9154 | Evergreen Family Medical Clinic Inc 4929 Highway 371 S Nettleton MS 38858-6901 Ph: (662) 963-9154 |
| NPI Number | 1689860629 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689860629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
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