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502 Jackson Street Suite 5 Aberdeen MS 39730-0000 | |
(662) 369-9500 | |
(662) 304-4002 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 502 Jackson Street, Aberdeen, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (CEO/OWNER) |
Authorized Official Contact | 6018496440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-1682 | 502 Jackson Street Suite 5 Aberdeen MS 39730-0000 Ph: (662) 369-9500 |
NPI Number | 1386689438 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 06/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386689438 | NPI | - | NPPES |
08558036 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Aberdeen Health Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Chestnut Street, Aberdeen, MS 39730 Phone: 662-369-6131 Fax: 662-369-4588 | |