| Panola Family And Specialty Clinic | |
|
303 Medical Center Dr Batesville MS 38606-8608 | |
| (662) 563-7873 | |
| Not Available |
| Full Name | Panola Family And Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 Medical Center Dr, Batesville, Mississippi |
| Authorized Official Name and Position | Robert Q Whitwell (CEO) |
| Authorized Official Contact | 6625635611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panola Family And Specialty Clinic 303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-5611 | Panola Family And Specialty Clinic 303 Medical Center Dr Batesville MS 38606-8608 Ph: (662) 563-7873 |
| NPI Number | 1366905028 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 10/10/2019 |
| Medicare PECOS PAC ID | 0345583225 |
|---|---|
| Medicare Enrollment ID | O20190702001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366905028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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