Tatum Medical Clinic | |
5903 Ridgewood Rd Ste 330 Jackson MS 39211-3702 | |
(601) 421-3454 | |
(601) 899-3920 |
Full Name | Tatum Medical Clinic |
---|---|
Speciality | Internal Medicine |
Location | 5903 Ridgewood Rd Ste 330, Jackson, Mississippi |
Authorized Official Name and Position | Robert E Tatum (MANAGER) |
Authorized Official Contact | 6014213454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tatum Medical Clinic 5903 Ridgewood Rd Ste 330 Jackson MS 39211-3702 Ph: (601) 421-3454 | Tatum Medical Clinic 5903 Ridgewood Rd Ste 330 Jackson MS 39211-3702 Ph: (601) 421-3454 |
NPI Number | 1912138967 |
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Provider Enumeration Date | 08/06/2009 |
Last Update Date | 08/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912138967 | NPI | - | NPPES |
0120001 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16155 (Mississippi) | Primary |
Ben W. Seale, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 | |
Central Mississippi Health Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 Highway 80 W Ste 71, Jackson, MS 39209 Phone: 601-321-2400 | |
Hni Medical Services Of Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000 | |
Medical Care Associates Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3855 Azalea Dr, Jackson, MS 39206 Phone: 601-366-9447 | |
The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
Quad Intermed Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Old Canton Rd, Jackson, MS 39211 Phone: 601-957-3333 | |
Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |