| Pontotoc Medical Clinic | |
|
345 Highway 15 N Pontotoc MS 38863-1105 | |
| (662) 489-7430 | |
| (662) 489-7938 |
| Full Name | Pontotoc Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 345 Highway 15 N, Pontotoc, Mississippi |
| Authorized Official Name and Position | Gerald Kimbrough (CBO MANAGER) |
| Authorized Official Contact | 6624897430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pontotoc Medical Clinic 450 E President Ave Tupelo MS 38801-5599 Ph: (662) 377-4685 | Pontotoc Medical Clinic 345 Highway 15 N Pontotoc MS 38863-1105 Ph: (662) 489-7430 |
| NPI Number | 1548297021 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548297021 | NPI | - | NPPES |
| 09014019 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Access School Health - Pontotoc Main Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 E Oxford St, Pontotoc, MS 38863 Phone: 662-489-3336 | |
Access School Health - South Pontotoc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1523 S Pontotoc Rd, Pontotoc, MS 38863 Phone: 662-489-5941 Fax: 662-489-1757 | |
Flavia H West Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |
Pontotoc Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 | |
Lauderdale Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 E Jefferson St, Pontotoc, MS 38863 Phone: 662-419-1260 | |
Mississippicare 113 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 |