New Beginnings Family Healthcare, Pllc | |
3425 N Liberty St Ste B Canton MS 39046-3761 | |
(601) 741-5114 | |
(601) 667-4456 |
Full Name | New Beginnings Family Healthcare, Pllc |
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Speciality | Clinic/Center |
Location | 3425 N Liberty St Ste B, Canton, Mississippi |
Authorized Official Name and Position | April Lee (OWNER) |
Authorized Official Contact | 6018984422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Beginnings Family Healthcare, Pllc 3425 N Liberty St Ste B Canton MS 39046-3761 Ph: (601) 898-4422 | New Beginnings Family Healthcare, Pllc 3425 N Liberty St Ste B Canton MS 39046-3761 Ph: (601) 741-5114 |
NPI Number | 1548918097 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 01/09/2023 |
Medicare PECOS PAC ID | 0042692832 |
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Medicare Enrollment ID | O20220726001869 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548918097 | NPI | - | NPPES |
02327202 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | April L Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194076836 PECOS PAC ID: 5395982730 Enrollment ID: I20130502000420 |
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