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1024 Martin Luther King Dr Marks MS 38646-1832 | |
(662) 326-3502 | |
(662) 326-2555 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1024 Martin Luther King Dr, Marks, Mississippi |
Authorized Official Name and Position | Lonnie Moore (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6623263500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 289 Marks MS 38646-0289 Ph: (662) 326-3502 | 1024 Martin Luther King Dr Marks MS 38646-1832 Ph: (662) 326-3502 |
NPI Number | 1720585490 |
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Provider Enumeration Date | 04/10/2018 |
Last Update Date | 03/01/2023 |
Medicare PECOS PAC ID | 2163777046 |
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Medicare Enrollment ID | O20180720000274 |
Identifier | Type | State | Issuer |
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1720585490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Warrington Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Martin Luther King Drive, Pob 289, Marks, MS 38646 Phone: 662-326-3500 | |
Quitman Physician Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Getwell St, Marks, MS 38646 Phone: 662-388-0700 |