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40023 Cross Creek Dr Hamilton MS 39746-8801 | |
(662) 343-5299 | |
(662) 343-8456 |
Full Name | |
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Speciality | Family Medicine |
Location | 40023 Cross Creek Dr, Hamilton, Mississippi |
Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
Authorized Official Contact | 2395983131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | 40023 Cross Creek Dr Hamilton MS 39746-8801 Ph: (662) 343-5299 |
NPI Number | 1154665099 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 11/26/2012 |
Identifier | Type | State | Issuer |
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1154665099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |