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8613 Ms Highway 12 Ackerman MS 39735-8917 | |
(601) 849-6440 | |
(601) 849-1318 |
Full Name | |
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Speciality | Clinic/center |
Location | 8613 Ms Highway 12, Ackerman, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (CEO) |
Authorized Official Contact | 6018496440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8613 Ms Highway 12 Ackerman MS 39735-8917 Ph: (601) 849-6440 | 8613 Ms Highway 12 Ackerman MS 39735-8917 Ph: (601) 849-6440 |
NPI Number | 1457696403 |
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Provider Enumeration Date | 12/03/2012 |
Last Update Date | 12/03/2012 |
Identifier | Type | State | Issuer |
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1457696403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Blissful Nursing And Mental Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900ms Highway 15, Ackerman, MS 39735 Phone: 662-387-7167 | |