Flavia H West Md | |
183 S Main St Pontotoc MS 38863-3209 | |
(662) 489-5038 | |
(662) 489-7004 |
Full Name | Flavia H West Md |
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Speciality | Family Medicine |
Location | 183 S Main St, Pontotoc, Mississippi |
Authorized Official Name and Position | Flavia H West (OWNER) |
Authorized Official Contact | 6624895038 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Flavia H West Md 183 S Main St Pontotoc MS 38863-3209 Ph: (662) 489-5038 | Flavia H West Md 183 S Main St Pontotoc MS 38863-3209 Ph: (662) 489-5038 |
NPI Number | 1386982569 |
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Provider Enumeration Date | 01/23/2013 |
Last Update Date | 01/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386982569 | NPI | - | NPPES |
00019567 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10750 (Mississippi) | Primary |
Redmed, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044 | |