Pine Grove Association | |
1134 Barnes Rd Canton MS 39046 | |
(601) 761-9424 | |
Not Available |
Full Name | Pine Grove Association |
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Speciality | General Practice |
Location | 1134 Barnes Rd, Canton, Mississippi |
Authorized Official Name and Position | Angela Carson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6019551132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine Grove Association Po Box 36 Canton MS 39046-0036 Ph: () - | Pine Grove Association 1134 Barnes Rd Canton MS 39046 Ph: (601) 761-9424 |
NPI Number | 1871316257 |
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Provider Enumeration Date | 11/05/2024 |
Last Update Date | 11/05/2024 |
Identifier | Type | State | Issuer |
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1871316257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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Everycare Express Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Feather Ln, Suite E, Canton, MS 39046 Phone: 601-859-0140 | |
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