New Hope Family Medical Clinic | |
2110 Lake Lowndes Rd Columbus MS 39702-9655 | |
(662) 798-0445 | |
(833) 962-3812 |
Full Name | New Hope Family Medical Clinic |
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Speciality | Clinic/Center |
Location | 2110 Lake Lowndes Rd, Columbus, Mississippi |
Authorized Official Name and Position | Carrie Dozier (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 6627980445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Hope Family Medical Clinic 2110 Lake Lowndes Rd Columbus MS 39702-9655 Ph: (662) 798-0445 | New Hope Family Medical Clinic 2110 Lake Lowndes Rd Columbus MS 39702-9655 Ph: (662) 798-0445 |
NPI Number | 1699400184 |
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Provider Enumeration Date | 07/19/2022 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 8628447463 |
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Medicare Enrollment ID | O20221216002081 |
Identifier | Type | State | Issuer |
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1699400184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Klancie Allison Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740744572 PECOS PAC ID: 7416382064 Enrollment ID: I20200109000378 |
Provider Name | Carrie M Dozier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164906186 PECOS PAC ID: 3072940055 Enrollment ID: I20200304001391 |
Provider Name | Ashley Sudduth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306370648 PECOS PAC ID: 8022371129 Enrollment ID: I20200326002434 |
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