Newcare Md, Llc | |
129 Fountains Blvd Suite 101 Madison MS 39110-6344 | |
(769) 300-0700 | |
(769) 300-0707 |
Full Name | Newcare Md, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 129 Fountains Blvd, Madison, Mississippi |
Authorized Official Name and Position | Micah Walker (OWNER/MANAGER) |
Authorized Official Contact | 6624021219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Newcare Md, Llc 129 Fountains Blvd Suite 101 Madison MS 39110-6344 Ph: (769) 300-0700 | Newcare Md, Llc 129 Fountains Blvd Suite 101 Madison MS 39110-6344 Ph: (769) 300-0700 |
NPI Number | 1134674153 |
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Provider Enumeration Date | 08/19/2016 |
Last Update Date | 01/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134674153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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