| St Dominic Family Practice Brandon | |
|
1297 West Government Street Brandon MS 39042 | |
| (601) 200-4790 | |
| (601) 200-4855 |
| Full Name | St Dominic Family Practice Brandon |
|---|---|
| Speciality | Family Medicine |
| Location | 1297 West Government Street, Brandon, Mississippi |
| Authorized Official Name and Position | Jennifer Sinclair (PRESIDENT OF SDMA) |
| Authorized Official Contact | 6012002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Dominic Family Practice Brandon Po Box 23666 Jackson MS 39225-3666 Ph: (601) 200-4749 | St Dominic Family Practice Brandon 1297 West Government Street Brandon MS 39042 Ph: (601) 200-4790 |
| NPI Number | 1548698608 |
|---|---|
| Provider Enumeration Date | 10/28/2013 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548698608 | NPI | - | NPPES |
| 02751790 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18818 (Mississippi) | Primary |
Ken R. Morris M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Crossgates Blvd, Suite 1300, Brandon, MS 39042 Phone: 601-825-6181 Fax: 601-825-2228 | |
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4 The Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1127 Old Fannin Rd, C, Brandon, MS 39047 Phone: 601-214-4420 | |
Family Health Care Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-3163 Fax: 601-825-7893 |