| Forest Family Practice Clinic Pa | |
|
1 Medical Ln Forest MS 39074-4039 | |
| (601) 469-4861 | |
| (601) 469-4828 |
| Full Name | Forest Family Practice Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Medical Ln, Forest, Mississippi |
| Authorized Official Name and Position | John Paul Lee (PRESIDENT) |
| Authorized Official Contact | 6014694861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Family Practice Clinic Pa Po Box 600 Forest MS 39074-0600 Ph: (601) 469-4861 | Forest Family Practice Clinic Pa 1 Medical Ln Forest MS 39074-4039 Ph: (601) 469-4861 |
| NPI Number | 1235119181 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 10/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235119181 | NPI | - | NPPES |
| 09014143 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05638 (Mississippi) | Primary |
Checkups Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 601-469-9999 | |
Lackey Pediatric Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 Highway 35 S, Suite 1, Forest, MS 39074 Phone: 601-849-6440 Fax: 601-849-1318 | |
505 Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Airport Rd Ste D, Forest, MS 39074 Phone: 601-333-0986 Fax: 601-333-0987 | |
Total Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Deerfield Dr, Suite C, Forest, MS 39074 Phone: 601-469-0291 Fax: 601-469-0347 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Airport Rd, Forest, MS 39074 Phone: 601-469-4151 Fax: 601-469-3681 | |
Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Airport Rd Ste B, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724 |