| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 608 Hwy 178, Sherman, Mississippi |
| Authorized Official Name and Position | Anthony Prather (BUSINESS MANAGER) |
| Authorized Official Contact | 6624249550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1413 W Quitman St Iuka MS 38852-1130 Ph: (662) 424-9550 | 608 Hwy 178 Sherman MS 38869 Ph: (662) 840-1230 |
| NPI Number | 1003118316 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 12/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003118316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sherman Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Hwy 178, Sherman, MS 38869 Phone: 662-840-8978 Fax: 662-840-1230 | |