Making Moves In The Community, Incorporated | |
601 Highway 61 Shaw MS 38773-9539 | |
(662) 545-7014 | |
Not Available |
Full Name | Making Moves In The Community, Incorporated |
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Speciality | Family Medicine |
Location | 601 Highway 61, Shaw, Mississippi |
Authorized Official Name and Position | Nora Cecelia Gough-davis (FNP) |
Authorized Official Contact | 6627543301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Making Moves In The Community, Incorporated 601 Highway 61 Shaw MS 38773-9539 Ph: () - | Making Moves In The Community, Incorporated 601 Highway 61 Shaw MS 38773-9539 Ph: (662) 545-7014 |
NPI Number | 1174231443 |
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Provider Enumeration Date | 11/07/2022 |
Last Update Date | 11/07/2022 |
Identifier | Type | State | Issuer |
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1174231443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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