Hickory Flat Family Clinic Llc | |
250 Oak Street Hickor Flat MS 38633 | |
(662) 333-6378 | |
Not Available |
Full Name | Hickory Flat Family Clinic Llc |
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Speciality | Clinic/center - Primary Care |
Location | 250 Oak Street, Hickor Flat, Mississippi |
Authorized Official Name and Position | Denise Wells Gossett (NURSE PRACTITIONER) |
Authorized Official Contact | 6622025685 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hickory Flat Family Clinic Llc Po Box 128 Hickory Flat MS 38633-0128 Ph: (662) 333-6387 | Hickory Flat Family Clinic Llc 250 Oak Street Hickor Flat MS 38633 Ph: (662) 333-6378 |
NPI Number | 1669649570 |
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Provider Enumeration Date | 05/09/2008 |
Last Update Date | 05/09/2008 |
Identifier | Type | State | Issuer |
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1669649570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | R687235 (Mississippi) | Primary |