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40128 Hamilton Rd Hamilton MS 39746-9686 | |
(662) 343-5129 | |
(662) 343-5476 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 40128 Hamilton Rd, Hamilton, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (PRESIDENT) |
Authorized Official Contact | 6018494112 |
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) 849-6440 | 40128 Hamilton Rd Hamilton MS 39746-9686 Ph: (662) 343-5129 |
NPI Number | 1326083619 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 09/05/2008 |
Identifier | Type | State | Issuer |
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1326083619 | NPI | - | NPPES |
09006276 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |