Iuka Family Clinic | |
302 Kaki St Iuka MS 38852-1197 | |
(662) 423-3662 | |
(662) 423-2509 |
Full Name | Iuka Family Clinic |
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Speciality | Family Medicine |
Location | 302 Kaki St, Iuka, Mississippi |
Authorized Official Name and Position | Bradley Murray (OWNER) |
Authorized Official Contact | 6622790334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Iuka Family Clinic Po Box 144 Iuka MS 38852-0144 Ph: (662) 740-0334 | Iuka Family Clinic 302 Kaki St Iuka MS 38852-1197 Ph: (662) 423-3662 |
NPI Number | 1952180705 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 10/21/2024 |
Medicare PECOS PAC ID | 6305293960 |
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Medicare Enrollment ID | O20231103002469 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952180705 | NPI | - | NPPES |
200011659 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bradley Alton Murray |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518451129 PECOS PAC ID: 1254689896 Enrollment ID: I20210713001704 |
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