| King's Daughters Medical Clinic | |
|
950 Brookway Blvd Brookhaven MS 39601-2644 | |
| (601) 833-7973 | |
| Not Available |
| Full Name | King's Daughters Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 Brookway Blvd, Brookhaven, Mississippi |
| Authorized Official Name and Position | Scott Christensen (CEO) |
| Authorized Official Contact | 6018359488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| King's Daughters Medical Clinic 427 Highway 51 N Brookhaven MS 39601-2350 Ph: (601) 835-9275 | King's Daughters Medical Clinic 950 Brookway Blvd Brookhaven MS 39601-2644 Ph: (601) 833-7973 |
| NPI Number | 1013781731 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 3072575539 |
|---|---|
| Medicare Enrollment ID | O20240108004421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013781731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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