| Gilmore Primary Care | |
|
900 Earl Frye Blvd Ste C Amory MS 38821-5507 | |
| (662) 256-6227 | |
| Not Available |
| Full Name | Gilmore Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Earl Frye Blvd Ste C, Amory, Mississippi |
| Authorized Official Name and Position | Chris Dedeaux (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6622567112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilmore Primary Care 123 Main St N Amory MS 38821-3416 Ph: () - | Gilmore Primary Care 900 Earl Frye Blvd Ste C Amory MS 38821-5507 Ph: (662) 256-6227 |
| NPI Number | 1306069612 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306069612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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