| Picayune Family Clinic | |
|
422 Memorial Blvd Picayune MS 39466-5544 | |
| (601) 798-2151 | |
| (601) 798-2184 |
| Full Name | Picayune Family Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 422 Memorial Blvd, Picayune, Mississippi |
| Authorized Official Name and Position | Amy Ali (OWNER) |
| Authorized Official Contact | 2283857715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picayune Family Clinic Po Box 6913 Gulfport MS 39506-6913 Ph: (228) 385-7715 | Picayune Family Clinic 422 Memorial Blvd Picayune MS 39466-5544 Ph: (601) 798-2151 |
| NPI Number | 1972771806 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972771806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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