Minor Med Care, P.a. | |
120 W Main St Raymond MS 39154-1223 | |
(601) 372-1117 | |
(601) 373-3004 |
Full Name | Minor Med Care, P.a. |
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Speciality | Clinic/Center |
Location | 120 W Main St, Raymond, Mississippi |
Authorized Official Name and Position | Timothy Duncan Estes (PRESIDENT) |
Authorized Official Contact | 6013721117 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minor Med Care, P.a. Po Box 1223 Raymond MS 39154-1223 Ph: (601) 857-2341 | Minor Med Care, P.a. 120 W Main St Raymond MS 39154-1223 Ph: (601) 372-1117 |
NPI Number | 1669575627 |
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Provider Enumeration Date | 09/06/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7618866021 |
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Medicare Enrollment ID | O20100104000556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669575627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 09740 (Mississippi) | Primary |
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