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46 Sgt Prentiss Dr Suite 202 Natchez MS 39120-4792 | |
(601) 443-2100 | |
(601) 443-2885 |
Full Name | |
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Speciality | Family Medicine |
Location | 46 Sgt Prentiss Dr, Natchez, Mississippi |
Authorized Official Name and Position | Jeffrey Wesselman (CEO) |
Authorized Official Contact | 6014432600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 14149 Baton Rouge LA 70898-4149 Ph: (225) 924-9827 | 46 Sgt Prentiss Dr Suite 202 Natchez MS 39120-4792 Ph: (601) 443-2100 |
NPI Number | 1245260900 |
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Provider Enumeration Date | 07/05/2006 |
Last Update Date | 12/27/2007 |
Identifier | Type | State | Issuer |
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1245260900 | NPI | - | NPPES |
09015592 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Us Star Nursing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 East Woodlawn Avenue, Natchez, MS 39120 Phone: 601-304-2043 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Highway 61 N, Natchez, MS 39120 Phone: 601-861-1631 | |
Anthony L Buckles Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Northgate Rd Ste D, Natchez, MS 39120 Phone: 708-595-3660 | |
Leslie E England Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Jefferson Davis Blvd Ste C, Natchez, MS 39120 Phone: 601-442-9802 Fax: 601-442-5802 | |