| Patients' Choice Medical Clinic Llc | |
|
501 Azalea Dr Suite F Waynesboro MS 39367-2661 | |
| (601) 735-3737 | |
| Not Available |
| Full Name | Patients' Choice Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 Azalea Dr, Waynesboro, Mississippi |
| Authorized Official Name and Position | Angela Boyd (FNP-C) |
| Authorized Official Contact | 6014107948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patients' Choice Medical Clinic Llc 501 Azalea Dr Suite F Waynesboro MS 39367-2661 Ph: (601) 735-3737 | Patients' Choice Medical Clinic Llc 501 Azalea Dr Suite F Waynesboro MS 39367-2661 Ph: (601) 735-3737 |
| NPI Number | 1225303340 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 12/03/2013 |
| Medicare PECOS PAC ID | 0648406298 |
|---|---|
| Medicare Enrollment ID | O20131204000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225303340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R867779 (Mississippi) | Primary |
| Provider Name | Bendan L Driggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932413762 PECOS PAC ID: 4587844022 Enrollment ID: I20110215001039 |
| Provider Name | Angela B Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225341100 PECOS PAC ID: 8123200953 Enrollment ID: I20110315000576 |
| Provider Name | Savannah Leeann Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881329498 PECOS PAC ID: 5991177925 Enrollment ID: I20230220002726 |
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