Full Name | |
---|---|
Speciality | Family Medicine |
Location | 104 Highway 589, Purvis, Mississippi |
Authorized Official Name and Position | Charles Griffith (PHYSICIAN) |
Authorized Official Contact | 6013103182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
104 Highway 589 Purvis MS 39475 Ph: (601) 242-3030 | 104 Highway 589 Purvis MS 39475 Ph: (601) 242-3030 |
NPI Number | 1881992055 |
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Provider Enumeration Date | 03/11/2011 |
Last Update Date | 03/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881992055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 17786 (Mississippi) | Primary |