Lexington Primary Care | |
110 Tchula Street Lexington Primary Care Lexington MS 39095 | |
(662) 834-1855 | |
(662) 834-4953 |
Full Name | Lexington Primary Care |
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Speciality | Clinic/center - Rural Health |
Location | 110 Tchula Street, Lexington, Mississippi |
Authorized Official Name and Position | Pauline Hathcock (NURSE PRACTITIONER) |
Authorized Official Contact | 6628341855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lexington Primary Care Po Box 249 Lexington MS 39095-0249 Ph: (662) 834-1855 | Lexington Primary Care 110 Tchula Street Lexington Primary Care Lexington MS 39095 Ph: (662) 834-1855 |
NPI Number | 1972617876 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972617876 | NPI | - | NPPES |
0115646 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | R851692 (Mississippi) | Primary |
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Dr. Arenia C. Mallory Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9479 Brozville Rd, Lexington, MS 39095 Phone: 662-834-0532 | |
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