| |
342 Gilchrist Dr Pearl MS 39208-6671 | |
(601) 939-0700 | |
(601) 939-8654 |
Full Name | |
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Speciality | Family Medicine |
Location | 342 Gilchrist Dr, Pearl, Mississippi |
Authorized Official Name and Position | Sam Scott (CFO) |
Authorized Official Contact | 6018987525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
342 Gilchrist Dr Pearl MS 39208-6671 Ph: (601) 939-0700 | 342 Gilchrist Dr Pearl MS 39208-6671 Ph: (601) 939-0700 |
NPI Number | 1639103625 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 02/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639103625 | NPI | - | NPPES |
09015301 | Medicaid | MS | |
CH7896 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Mississippi) | Primary |
St Dominic Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5520 Highway 80 E, Pearl, MS 39208 Phone: 601-200-2000 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4635 Highway 80 E, Pearl, MS 39208 Phone: 601-936-3833 Fax: 601-936-3837 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Care Plus Pearl Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Highway 80 E, Pearl, MS 39208 Phone: 601-939-1321 Fax: 601-939-1805 |