| Madison Hma Llc | |
|
161 River Oaks Dr Canton MS 39046-5375 | |
| (601) 855-4011 | |
| (601) 936-3116 |
| Full Name | Madison Hma Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 161 River Oaks Dr, Canton, Mississippi |
| Authorized Official Name and Position | James P Wright (VP PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Contact | 6157781502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Hma Llc 161 River Oaks Dr Canton MS 39046-5375 Ph: (601) 855-4011 | Madison Hma Llc 161 River Oaks Dr Canton MS 39046-5375 Ph: (601) 855-4011 |
| NPI Number | 1578129177 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 05/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578129177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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