Family Medical Clinic Of Okolona | |
518 West Dr Okolona MS 38860-1624 | |
(662) 447-1405 | |
(662) 447-1408 |
Full Name | Family Medical Clinic Of Okolona |
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Speciality | Clinic/center |
Location | 518 West Dr, Okolona, Mississippi |
Authorized Official Name and Position | Sheila Brockman (CEO) |
Authorized Official Contact | 6624563700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medical Clinic Of Okolona 521 West Dr Okolona MS 38860-1625 Ph: (662) 447-1405 | Family Medical Clinic Of Okolona 518 West Dr Okolona MS 38860-1624 Ph: (662) 447-1405 |
NPI Number | 1922174655 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 01/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922174655 | NPI | - | NPPES |
07728748 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Family Medical Clinic Of Okolona Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 518 West Dr, Okolona, MS 38860 Phone: 662-447-6170 | |
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