| Rachel S Conradmd | |
|
100a Larosa Long Beach MS 39560 | |
| (228) 868-6530 | |
| Not Available |
| Full Name | Rachel S Conradmd |
|---|---|
| Speciality | Family Medicine |
| Location | 100a Larosa, Long Beach, Mississippi |
| Authorized Official Name and Position | Rachel Susan Conrad (OWER/PHYSICIAN) |
| Authorized Official Contact | 2288686530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel S Conradmd 100 A Larosa Long Beach MS 39560 Ph: (228) 868-6530 | Rachel S Conradmd 100a Larosa Long Beach MS 39560 Ph: (228) 868-6530 |
| NPI Number | 1528267333 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528267333 | NPI | - | NPPES |
| 00284536 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18000 (Mississippi) | Primary |
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