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3701 8th St Ste B Meridian MS 39307-6083 | |
(601) 527-7585 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 3701 8th St Ste B, Meridian, Mississippi |
Authorized Official Name and Position | Mary Stewart (MEMBER) |
Authorized Official Contact | 6015277585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 3272 Meridian MS 39303-3272 Ph: (601) 527-7585 | 3701 8th St Ste B Meridian MS 39307-6083 Ph: (601) 527-7585 |
NPI Number | 1710640859 |
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Provider Enumeration Date | 10/15/2021 |
Last Update Date | 01/13/2022 |
Medicare PECOS PAC ID | 9537553292 |
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Medicare Enrollment ID | O20220223002944 |
Identifier | Type | State | Issuer |
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1710640859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Erica R Glover |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366733164 PECOS PAC ID: 9133305733 Enrollment ID: I20110517000044 |
Provider Name | Mary S Stewart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902180979 PECOS PAC ID: 3375716913 Enrollment ID: I20111027000265 |
Provider Name | Tanyaneka L Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104243831 PECOS PAC ID: 7719100890 Enrollment ID: I20140516001496 |
Provider Name | Lindsey Walker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023796349 PECOS PAC ID: 8820445612 Enrollment ID: I20231116001072 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |