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347 Magnolia Dr Raleigh MS 39153-6011 | |
(601) 782-9997 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 347 Magnolia Dr, Raleigh, Mississippi |
Authorized Official Name and Position | Paulette Butler (CEO) |
Authorized Official Contact | 6017829997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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347 Magnolia Dr Raleigh MS 39153-6011 Ph: (601) 782-9997 | 347 Magnolia Dr Raleigh MS 39153-6011 Ph: (601) 782-9997 |
NPI Number | 1174820765 |
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Provider Enumeration Date | 02/17/2011 |
Last Update Date | 05/23/2012 |
Identifier | Type | State | Issuer |
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1174820765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 | |