P C Medical Consulting, Inc | |
1301 Belk Blvd Oxford MS 38655-5301 | |
(877) 794-2284 | |
(804) 612-5201 |
Full Name | P C Medical Consulting, Inc |
---|---|
Speciality | Family Medicine |
Location | 1301 Belk Blvd, Oxford, Mississippi |
Authorized Official Name and Position | Robert Carter (OWNER) |
Authorized Official Contact | 6622551156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
P C Medical Consulting, Inc 308 S Central Ave New Albany MS 38652-3803 Ph: (662) 255-1156 | P C Medical Consulting, Inc 1301 Belk Blvd Oxford MS 38655-5301 Ph: (877) 794-2284 |
NPI Number | 1104559871 |
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Provider Enumeration Date | 07/08/2022 |
Last Update Date | 07/08/2022 |
Medicare PECOS PAC ID | 2062894702 |
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Medicare Enrollment ID | O20220728000334 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104559871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert L Carter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649477191 PECOS PAC ID: 2567535669 Enrollment ID: I20080723000322 |
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