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1203 Jefferson St Laurel MS 39440-4354 | |
(601) 649-2863 | |
(601) 649-9479 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1203 Jefferson St, Laurel, Mississippi |
Authorized Official Name and Position | Monica Morrow (DIRECTOR OF CLINIC SUPPORT) |
Authorized Official Contact | 6013996167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 247 Laurel MS 39441-0247 Ph: (601) 399-6169 | 1203 Jefferson St Laurel MS 39440-4354 Ph: (601) 649-2863 |
NPI Number | 1346767852 |
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Provider Enumeration Date | 08/25/2017 |
Last Update Date | 01/30/2020 |
Identifier | Type | State | Issuer |
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1346767852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-428-6561 | |
Jefferson Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |