| Everycare Express Clinic | |
|
162 Feather Ln Suite E Canton MS 39046-8510 | |
| (601) 859-0140 | |
| Not Available |
| Full Name | Everycare Express Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 162 Feather Ln, Canton, Mississippi |
| Authorized Official Name and Position | Stephanie Jackson (NURSE PRACTITIONER) |
| Authorized Official Contact | 6018590140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everycare Express Clinic Po Box 417 Madison MS 39130-0417 Ph: () - | Everycare Express Clinic 162 Feather Ln Suite E Canton MS 39046-8510 Ph: (601) 859-0140 |
| NPI Number | 1225433436 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 12/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225433436 | NPI | - | NPPES |
| 00780035 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R862558 (Mississippi) | Primary |
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