Moss Point Family Clinic | |
5430 Griffin St Moss Point MS 39563-2003 | |
(228) 355-0719 | |
(228) 475-4039 |
Full Name | Moss Point Family Clinic |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 5430 Griffin St, Moss Point, Mississippi |
Authorized Official Name and Position | William Sidney Robert Ross (OWNER) |
Authorized Official Contact | 2283550719 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Moss Point Family Clinic 5430 Griffin St Moss Point MS 39563-2003 Ph: (228) 355-0719 | Moss Point Family Clinic 5430 Griffin St Moss Point MS 39563-2003 Ph: (228) 355-0719 |
NPI Number | 1518172568 |
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Provider Enumeration Date | 05/13/2007 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518172568 | NPI | - | NPPES |
DG3268 | Other | MS | RAILROAD MEDICARE |
1972617884 | Other | MS | PERSONAL NPI NUMBER FOR M |
0115091 | Medicaid | MS | |
01903811 | Medicaid | MS | |
1710955869 | Other | MS | PA GRAY'S NPI |
296723832 | Other | MS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 12739 (Mississippi) | Primary |
Gale Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Jefferson Ave, Moss Point, MS 39563 Phone: 228-641-1674 Fax: 228-205-4593 | |
Allgood Family Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9930 Saracennia Rd, Moss Point, MS 39562 Phone: 228-475-7877 Fax: 228-475-8085 | |