| Main Street Medical, Llc | |
|
106 W Main St Louisville MS 39339-2620 | |
| (662) 803-5318 | |
| Not Available |
| Full Name | Main Street Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 W Main St, Louisville, Mississippi |
| Authorized Official Name and Position | Emily Davis Perkins (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6628035318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Medical, Llc 106 W Main St Louisville MS 39339-2620 Ph: (662) 803-5318 | Main Street Medical, Llc 106 W Main St Louisville MS 39339-2620 Ph: (662) 803-5318 |
| NPI Number | 1013340892 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013340892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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