| |
900 Stark Road Starkville MS 39759 | |
(662) 323-4400 | |
(662) 323-4409 |
Full Name | |
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Speciality | Family Medicine |
Location | 900 Stark Road, Starkville, Mississippi |
Authorized Official Name and Position | Placid M Eze (PHYSICIAN OWNER) |
Authorized Official Contact | 6623234400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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900 Stark Road Starkville MS 39759 Ph: (662) 323-4400 | 900 Stark Road Starkville MS 39759 Ph: (662) 323-4400 |
NPI Number | 1780809251 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 05/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780809251 | NPI | - | NPPES |
09728046 | Medicaid | MS | |
1776696 | Medicaid | LA | |
DB6431 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Starkville Family Practice Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Brandon Rd, Suite 5, Starkville, MS 39759 Phone: 662-323-1212 | |
Golden Triangle Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-334-2295 | |
Medplus Starkville Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 Hwy 182 W, Starkville, MS 39759 Phone: 662-320-7800 Fax: 662-269-6346 | |
Golden Triangle Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295 |