| Northside Medical Clinic | |
|
1014a N Jackson St Starkville MS 39759-2211 | |
| (662) 617-4894 | |
| (662) 384-5345 |
| Full Name | Northside Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1014a N Jackson St, Starkville, Mississippi |
| Authorized Official Name and Position | Klancie Allison Smith (FAMILY NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6626174894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Clinic 1014a N Jackson St Starkville MS 39759-2211 Ph: (662) 617-4894 | Northside Medical Clinic 1014a N Jackson St Starkville MS 39759-2211 Ph: (662) 617-4894 |
| NPI Number | 1811721442 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811721442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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