Glover Primary Care Clinic | |
403 Nw Depot St Durant MS 39063-3705 | |
(662) 316-1334 | |
Not Available |
Full Name | Glover Primary Care Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 403 Nw Depot St, Durant, Mississippi |
Authorized Official Name and Position | Sarita Gloverjackson (FAMILY NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 6623161334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Glover Primary Care Clinic 403 Nw Depot St Durant MS 39063-3705 Ph: (662) 316-1334 | Glover Primary Care Clinic 403 Nw Depot St Durant MS 39063-3705 Ph: (662) 316-1334 |
NPI Number | 1063849578 |
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Provider Enumeration Date | 09/28/2013 |
Last Update Date | 09/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063849578 | NPI | - | NPPES |
R856333 | Other | MS | NURSE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | R856333 (Mississippi) | Primary |
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