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105 Legion Ave Calhoun City MS 38916 | |
(662) 628-8267 | |
(601) 856-8003 |
Full Name | |
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Speciality | Clinic/center |
Location | 105 Legion Ave, Calhoun City, Mississippi |
Authorized Official Name and Position | Edith Melissa Corkern (PARTNER) |
Authorized Official Contact | 6015730386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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154 Oakdale Rd Madison MS 39110-9076 Ph: (601) 573-0386 | 105 Legion Ave Calhoun City MS 38916 Ph: (662) 628-8267 |
NPI Number | 1447324876 |
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Provider Enumeration Date | 11/18/2006 |
Last Update Date | 01/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447324876 | NPI | - | NPPES |
05529360 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Calhoun City Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Burke - Calhoun City Road, Calhoun City, MS 38916 Phone: 662-628-5116 Fax: 662-628-5117 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Legion Ave, Calhoun City, MS 38916 Phone: 601-825-7280 Fax: 601-825-8130 | |