Full Name | |
---|---|
Speciality | Family Medicine |
Location | 49 Turner St, Maben, Mississippi |
Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
Authorized Official Contact | 6623774229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
808 Varsity Dr Tupelo MS 38801-4613 Ph: (662) 377-3204 | 49 Turner St Maben MS 39750-9157 Ph: (662) 263-5900 |
NPI Number | 1801998042 |
---|---|
Provider Enumeration Date | 09/01/2006 |
Last Update Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801998042 | NPI | - | NPPES |
009014554 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Webster Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Turner St, Maben, MS 39750 Phone: 662-263-5900 |