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235 S 14th Ave Laurel MS 39440-4227 | |
(601) 425-0092 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 235 S 14th Ave, Laurel, Mississippi |
Authorized Official Name and Position | Kaye D Jones (BUSINESS MANAGER) |
Authorized Official Contact | 6014250092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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235 S 14th Ave Laurel MS 39440-4227 Ph: () - | 235 S 14th Ave Laurel MS 39440-4227 Ph: (601) 425-0092 |
NPI Number | 1801222898 |
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Provider Enumeration Date | 09/23/2013 |
Last Update Date | 10/04/2013 |
Identifier | Type | State | Issuer |
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1801222898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 | |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |