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728 Clinton Parkway Suite B Clinton MS 39056-0000 | |
(601) 200-4800 | |
(601) 924-0473 |
Full Name | |
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Speciality | Family Medicine |
Location | 728 Clinton Parkway, Clinton, Mississippi |
Authorized Official Name and Position | Jennifer Sinclair (PRESIDENT ST DOMINIC MEDICAL ASSOCI) |
Authorized Official Contact | 6012002000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 23666 Jackson MS 39225-3666 Ph: (601) 200-4800 | 728 Clinton Parkway Suite B Clinton MS 39056-0000 Ph: (601) 200-4800 |
NPI Number | 1639219595 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 02/25/2013 |
Identifier | Type | State | Issuer |
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1639219595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Clinton Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Highway 80 E, Suite D, Clinton, MS 39056 Phone: 318-791-3765 Fax: 877-747-5326 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4000 | |