Northwest Mississippi Regional Medical Center | |
785 Ohio Ave Suite 2f Clarksdale MS 38614-9734 | |
(662) 621-5081 | |
(662) 621-5083 |
Full Name | Northwest Mississippi Regional Medical Center |
---|---|
Speciality | Nurse Practitioner |
Location | 785 Ohio Ave, Clarksdale, Mississippi |
Authorized Official Name and Position | Ann Nowell (PHYSICIAN PRACTICE MANAGER) |
Authorized Official Contact | 6626248000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northwest Mississippi Regional Medical Center 580 Friars Point Rd Clarksdale MS 38614-9734 Ph: (662) 624-8000 | Northwest Mississippi Regional Medical Center 785 Ohio Ave Suite 2f Clarksdale MS 38614-9734 Ph: (662) 621-5081 |
NPI Number | 1508984436 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508984436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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