| Silver Medical Associates, Llc | |
|
814 S Haugh Ave Box 1675 Picayune MS 39466-5350 | |
| (769) 242-2020 | |
| (769) 242-2023 |
| Full Name | Silver Medical Associates, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 814 S Haugh Ave, Picayune, Mississippi |
| Authorized Official Name and Position | Kim Antoinette Mitchell-silver (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7692422020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Medical Associates, Llc 814 S Haugh Ave Picayune MS 39466-5350 Ph: (769) 242-2020 | Silver Medical Associates, Llc 814 S Haugh Ave Box 1675 Picayune MS 39466-5350 Ph: (769) 242-2020 |
| NPI Number | 1396291944 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396291944 | NPI | - | NPPES |
| 02274570 | Medicaid | MS | |
| 00606725 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1095115 (Mississippi) | Primary |
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