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910 Sumrall Rd Columbia MS 39429-2652 | |
(601) 736-0177 | |
(601) 736-0179 |
Full Name | |
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Speciality | Clinic/center |
Location | 910 Sumrall Rd, Columbia, Mississippi |
Authorized Official Name and Position | Jerry Howell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6017402190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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910 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-0177 | 910 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-0177 |
NPI Number | 1194831909 |
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Provider Enumeration Date | 08/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194831909 | NPI | - | NPPES |
06824714 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Mississippi) | Primary |
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