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517 Center Ave N Philadelphia MS 39350-2552 | |
(601) 656-1440 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 517 Center Ave N, Philadelphia, Mississippi |
Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
Authorized Official Contact | 8883397339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10996 Four Seasons Pl Ste 100a Crown Point IN 46307-8685 Ph: () - | 517 Center Ave N Philadelphia MS 39350-2552 Ph: (601) 656-1440 |
NPI Number | 1215419114 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 09/06/2018 |
Identifier | Type | State | Issuer |
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1215419114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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