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40128 Hamilton Rd Hamilton MS 39746-9686 | |
(662) 343-5129 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 40128 Hamilton Rd, Hamilton, Mississippi |
Authorized Official Name and Position | Christian Fletcher (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6785059657 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 S Chestnut St Aberdeen MS 39730-3335 Ph: () - | 40128 Hamilton Rd Hamilton MS 39746-9686 Ph: (662) 343-5129 |
NPI Number | 1851824080 |
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Provider Enumeration Date | 04/05/2017 |
Last Update Date | 04/05/2017 |
Identifier | Type | State | Issuer |
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1851824080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |