Healsafe Wound Clinic | |
1770 Highway 33 Fayette MS 39069 | |
(601) 431-6040 | |
Not Available |
Full Name | Healsafe Wound Clinic |
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Speciality | Clinic/Center |
Location | 1770 Highway 33, Fayette, Mississippi |
Authorized Official Name and Position | Frances Perryman (OWNER) |
Authorized Official Contact | 6014316040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healsafe Wound Clinic 1770 Highway 33 Fayette MS 39069 Ph: (601) 431-6040 | Healsafe Wound Clinic 1770 Highway 33 Fayette MS 39069 Ph: (601) 431-6040 |
NPI Number | 1750063848 |
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Provider Enumeration Date | 08/07/2023 |
Last Update Date | 08/07/2023 |
Medicare PECOS PAC ID | 0042668659 |
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Medicare Enrollment ID | O20231120003664 |
Identifier | Type | State | Issuer |
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1750063848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Moses Young |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124184031 PECOS PAC ID: 3870725203 Enrollment ID: I20140416002193 |
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