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216 S 13th Ave # C Laurel MS 39440-4226 | |
(601) 422-2433 | |
(601) 374-6884 |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 216 S 13th Ave # C, Laurel, Mississippi |
Authorized Official Name and Position | Felicia Keys (CEO) |
Authorized Official Contact | 6013422243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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216 S 13th Ave Ste C Laurel MS 39440-4226 Ph: (601) 342-2243 | 216 S 13th Ave # C Laurel MS 39440-4226 Ph: (601) 422-2433 |
NPI Number | 1639802747 |
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Provider Enumeration Date | 07/06/2022 |
Last Update Date | 01/08/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639802747 | NPI | - | NPPES |
1Y8038 | Other | MS | MEDICARE |
0332031166 | Medicaid | MS |
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 | |