| |
122 E Baker St Indianola MS 38751-2451 | |
(662) 887-2212 | |
(662) 887-1279 |
Full Name | |
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Speciality | Family Medicine |
Location | 122 E Baker St, Indianola, Mississippi |
Authorized Official Name and Position | James C Woods (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6628872212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212 | 122 E Baker St Indianola MS 38751-2451 Ph: (662) 887-2212 |
NPI Number | 1437321361 |
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Provider Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |
Identifier | Type | State | Issuer |
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1437321361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Delta Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 College Ave, Indianola, MS 38751 Phone: 662-884-1260 Fax: 662-741-2700 | |
Indianola Wellness Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Main St, Indianola, MS 38751 Phone: 662-303-3743 | |