| Family Medicine Residency Center | |
|
1665 S Green St Tupelo MS 38804-6556 | |
| (662) 377-2189 | |
| (662) 377-2263 |
| Full Name | Family Medicine Residency Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1665 S Green St, Tupelo, Mississippi |
| Authorized Official Name and Position | Gerald Wages (COO) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Residency Center 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Family Medicine Residency Center 1665 S Green St Tupelo MS 38804-6556 Ph: (662) 377-2189 |
| NPI Number | 1285745885 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285745885 | NPI | - | NPPES |
| 09014041 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South Madison Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
Nmmc Ekg Interpretations Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
North Mississippi Neurosurgical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720 | |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 | |
Advanced Wound Center Professionals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, 1st Floor East Tower, Tupelo, MS 38801 Phone: 662-377-2395 Fax: 662-377-2397 |