Select Choice At Home Family Care | |
30007 Carter Orr Dr Nettleton MS 38858-8001 | |
(662) 825-2767 | |
Not Available |
Full Name | Select Choice At Home Family Care |
---|---|
Speciality | Clinic/Center |
Location | 30007 Carter Orr Dr, Nettleton, Mississippi |
Authorized Official Name and Position | Joyce Carter (OWNER) |
Authorized Official Contact | 6628252767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Select Choice At Home Family Care 30007 Carter Orr Dr Nettleton MS 38858-8001 Ph: (662) 825-2767 | Select Choice At Home Family Care 30007 Carter Orr Dr Nettleton MS 38858-8001 Ph: (662) 825-2767 |
NPI Number | 1316556665 |
---|---|
Provider Enumeration Date | 07/23/2020 |
Last Update Date | 07/23/2020 |
Medicare PECOS PAC ID | 3678984655 |
---|---|
Medicare Enrollment ID | O20201123002946 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316556665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Joyce A Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639556731 PECOS PAC ID: 3971824061 Enrollment ID: I20180510001228 |
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