Northstar Primary Care | |
7900 Airways Blvd Bldg C1 Southaven MS 38671-4114 | |
(662) 807-4199 | |
(662) 807-4201 |
Full Name | Northstar Primary Care |
---|---|
Speciality | Family Medicine |
Location | 7900 Airways Blvd Bldg C1, Southaven, Mississippi |
Authorized Official Name and Position | James Timothy Wilson (CEO) |
Authorized Official Contact | 9017510939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northstar Primary Care 1540 Appling Care Ln Ste 105 Cordova TN 38016-4947 Ph: (901) 444-3950 | Northstar Primary Care 7900 Airways Blvd Bldg C1 Southaven MS 38671-4114 Ph: (662) 807-4199 |
NPI Number | 1891352514 |
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Provider Enumeration Date | 05/29/2019 |
Last Update Date | 07/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891352514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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