| Maben Medical Clinic | |
|
3985 Second Avenue Maben MS 39750 | |
| (662) 263-5900 | |
| (662) 263-4132 |
| Full Name | Maben Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3985 Second Avenue, Maben, Mississippi |
| Authorized Official Name and Position | Gerald Kimbrough (MANAGER) |
| Authorized Official Contact | 6623774685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maben Medical Clinic 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Maben Medical Clinic 3985 Second Avenue Maben MS 39750 Ph: (662) 263-5900 |
| NPI Number | 1801998042 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801998042 | NPI | - | NPPES |
| 09014554 | 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 |