| Lakeland Family Clinic Pllc | |
|
1000 Lakeland Square Ext Suite 800 Flowood MS 39232 | |
| (601) 939-9811 | |
| (601) 939-7272 |
| Full Name | Lakeland Family Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Lakeland Square Ext, Flowood, Mississippi |
| Authorized Official Name and Position | Charles H Williams (OWNER) |
| Authorized Official Contact | 6019399811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Clinic Pllc 1000 Lakeland Square Ext Suite 800 Flowood MS 39232 Ph: (601) 939-9811 | Lakeland Family Clinic Pllc 1000 Lakeland Square Ext Suite 800 Flowood MS 39232 Ph: (601) 939-9811 |
| NPI Number | 1669648614 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669648614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08447 (Mississippi) | Primary |
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