Priority Medical Group Sc | |
905 S Park Ave Herrin IL 62948-4112 | |
(618) 942-7376 | |
Not Available |
Full Name | Priority Medical Group Sc |
---|---|
Speciality | Family Medicine |
Location | 905 S Park Ave, Herrin, Illinois |
Authorized Official Name and Position | Sondra Humphreys (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 6189672964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Priority Medical Group Sc 905 S Park Ave Herrin IL 62948-4112 Ph: (618) 988-6000 | Priority Medical Group Sc 905 S Park Ave Herrin IL 62948-4112 Ph: (618) 942-7376 |
NPI Number | 1619485828 |
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Provider Enumeration Date | 01/22/2018 |
Last Update Date | 12/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619485828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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