| Jfmc Ellisville, Llc | |
|
602 Hill St Ellisville MS 39437-2414 | |
| (601) 719-0092 | |
| (601) 719-0473 |
| Full Name | Jfmc Ellisville, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 602 Hill St, Ellisville, Mississippi |
| Authorized Official Name and Position | Kaye D Jones (OFFICE MANAGER) |
| Authorized Official Contact | 6017190092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jfmc Ellisville, Llc 602 Hill St Ellisville MS 39437-2414 Ph: (601) 719-0092 | Jfmc Ellisville, Llc 602 Hill St Ellisville MS 39437-2414 Ph: (601) 719-0092 |
| NPI Number | 1407121338 |
|---|---|
| Provider Enumeration Date | 03/10/2012 |
| Last Update Date | 10/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407121338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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