| Ms Minor Medical Clinic Inc | |
|
414 E Pass Rd Gulfport MS 39507-3236 | |
| (601) 573-0386 | |
| (601) 856-8003 |
| Full Name | Ms Minor Medical Clinic Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 414 E Pass Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Edith Melissa Hutto (PARTNER) |
| Authorized Official Contact | 6015730386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Minor Medical Clinic Inc 154 Oakdale Rd Madison MS 39110-9076 Ph: (601) 573-0386 | Ms Minor Medical Clinic Inc 414 E Pass Rd Gulfport MS 39507-3236 Ph: (601) 573-0386 |
| NPI Number | 1982703666 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982703666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Mississippi) | Primary |
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