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1572 Walter Bell Rd Starkville MS 39759-2996 | |
(662) 312-2737 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1572 Walter Bell Rd, Starkville, Mississippi |
Authorized Official Name and Position | Lease Wordlaw (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6623122737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1572 Walter Bell Rd Starkville MS 39759-2996 Ph: (662) 312-2737 | 1572 Walter Bell Rd Starkville MS 39759-2996 Ph: (662) 312-2737 |
NPI Number | 1194414342 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 08/04/2023 |
Medicare PECOS PAC ID | 8628424611 |
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Medicare Enrollment ID | O20231027000120 |
Identifier | Type | State | Issuer |
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1194414342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lease Wordlaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578923454 PECOS PAC ID: 6406131556 Enrollment ID: I20170403000414 |
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