Line Street Medical Clinic | |
562 Line St S Bldg A Philadelphia MS 39350-2144 | |
(601) 389-8223 | |
(833) 640-0468 |
Full Name | Line Street Medical Clinic |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 562 Line St S Bldg A, Philadelphia, Mississippi |
Authorized Official Name and Position | Sierra Cain (FNP-C/OWNER) |
Authorized Official Contact | 6015626707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Line Street Medical Clinic 562 Line St S Bldg A Philadelphia MS 39350-2144 Ph: (601) 389-8223 | Line Street Medical Clinic 562 Line St S Bldg A Philadelphia MS 39350-2144 Ph: (601) 389-8223 |
NPI Number | 1730811944 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730811944 | NPI | - | NPPES |
01805219 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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