| Pas-point Family Clinic | |
|
3736 Main St Moss Point MS 39563-5108 | |
| (228) 474-2212 | |
| (228) 475-6271 |
| Full Name | Pas-point Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3736 Main St, Moss Point, Mississippi |
| Authorized Official Name and Position | Dunk A. Ellis (OWNER) |
| Authorized Official Contact | 2284742212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pas-point Family Clinic 3736 Main St Moss Point MS 39563-5108 Ph: (228) 474-2212 | Pas-point Family Clinic 3736 Main St Moss Point MS 39563-5108 Ph: (228) 474-2212 |
| NPI Number | 1790832400 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790832400 | NPI | - | NPPES |
| 00113221 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12710 (Mississippi) | Primary |
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