| James W Stephens Md Family Medicine Pllc | |
|
128 Courthouse Sq Monticello MS 39654-6014 | |
| (601) 587-0209 | |
| (601) 587-0436 |
| Full Name | James W Stephens Md Family Medicine Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 128 Courthouse Sq, Monticello, Mississippi |
| Authorized Official Name and Position | James W Stephens (OWNER / OPERATOR) |
| Authorized Official Contact | 6015870209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W Stephens Md Family Medicine Pllc 128 Courthouse Sq Monticello MS 39654-6014 Ph: (601) 587-0209 | James W Stephens Md Family Medicine Pllc 128 Courthouse Sq Monticello MS 39654-6014 Ph: (601) 587-0209 |
| NPI Number | 1508022237 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508022237 | NPI | - | NPPES |
| 512G700335 | Other | MS | PTAN |
| 1326248774 | Other | MS | DR'S INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20322 (Mississippi) | Primary |
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Monticello Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Courthouse Sq, Monticello, MS 39654 Phone: 601-587-0209 Fax: 601-587-0436 | |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 Watts St, Monticello, MS 39654 Phone: 601-587-7795 | |
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