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502 Jackson St Ste 4 Aberdeen MS 39730-3300 | |
(601) 369-9945 | |
(662) 304-4007 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 502 Jackson St Ste 4, Aberdeen, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (PRESIDENT) |
Authorized Official Contact | 6018496440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-6440 | 502 Jackson St Ste 4 Aberdeen MS 39730-3300 Ph: (601) 369-9945 |
NPI Number | 1790864577 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 02/13/2008 |
Identifier | Type | State | Issuer |
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1790864577 | NPI | - | NPPES |
PENDING | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Aberdeen Health Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Chestnut Street, Aberdeen, MS 39730 Phone: 662-369-6131 Fax: 662-369-4588 | |