| Retail Clinic - Madison | |
|
127 Grandview Blvd Madison MS 39110-7595 | |
| (601) 200-2000 | |
| Not Available |
| Full Name | Retail Clinic - Madison |
|---|---|
| Speciality | Family Medicine |
| Location | 127 Grandview Blvd, Madison, Mississippi |
| Authorized Official Name and Position | Jennifer Sinclair (VP OF FINANCE) |
| Authorized Official Contact | 6012002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Retail Clinic - Madison Po Box 23666 Jackson MS 39225-3666 Ph: (601) 200-4749 | Retail Clinic - Madison 127 Grandview Blvd Madison MS 39110-7595 Ph: (601) 200-2000 |
| NPI Number | 1972892321 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972892321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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