S&m Medical Clinic | |
403 Northwest Depot Street Durant MS 39063 | |
(662) 633-9633 | |
Not Available |
Full Name | S&m Medical Clinic |
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Speciality | Clinic/Center |
Location | 403 Northwest Depot Street, Durant, Mississippi |
Authorized Official Name and Position | Latonya Smith (OWNER) |
Authorized Official Contact | 6626339633 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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S&m Medical Clinic 57 Bailey St Durant MS 39063 Ph: (662) 633-9633 | S&m Medical Clinic 403 Northwest Depot Street Durant MS 39063 Ph: (662) 633-9633 |
NPI Number | 1912433459 |
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Provider Enumeration Date | 05/03/2017 |
Last Update Date | 05/03/2017 |
Medicare PECOS PAC ID | 4880965938 |
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Medicare Enrollment ID | O20170808000725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912433459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Mississippi) | Primary |
Provider Name | Calvin Ramsey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508919648 PECOS PAC ID: 0143131037 Enrollment ID: I20111108000829 |
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