Family Medicine Associates, Pa | |
200 Hospital Dr Tylertown MS 39667-2020 | |
(601) 876-5835 | |
(601) 876-5295 |
Full Name | Family Medicine Associates, Pa |
---|---|
Speciality | Family Medicine |
Location | 200 Hospital Dr, Tylertown, Mississippi |
Authorized Official Name and Position | Julius Keith Speed (PRESIDENT) |
Authorized Official Contact | 6018765835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Medicine Associates, Pa 200 Hospital Dr Tylertown MS 39667-2020 Ph: (601) 876-5835 | Family Medicine Associates, Pa 200 Hospital Dr Tylertown MS 39667-2020 Ph: (601) 876-5835 |
NPI Number | 1033433628 |
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Provider Enumeration Date | 03/25/2010 |
Last Update Date | 03/25/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033433628 | NPI | - | NPPES |
0114413 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11133 (Mississippi) | Primary |
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