The Family Clinic | |
501 Hospital Rd Starkville MS 39759-2158 | |
(662) 323-3162 | |
(662) 323-1711 |
Full Name | The Family Clinic |
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Speciality | Family Medicine |
Location | 501 Hospital Rd, Starkville, Mississippi |
Authorized Official Name and Position | Steven C Brandon (PRESIDENT) |
Authorized Official Contact | 6623233162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Family Clinic 501 Hospital Rd Starkville MS 39759-2158 Ph: (662) 323-3162 | The Family Clinic 501 Hospital Rd Starkville MS 39759-2158 Ph: (662) 323-3162 |
NPI Number | 1083728836 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 06/27/2014 |
Medicare PECOS PAC ID | 5294703286 |
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Medicare Enrollment ID | O20040917000689 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083728836 | NPI | - | NPPES |
09015316 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Steven C Brandon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225017239 PECOS PAC ID: 5294704375 Enrollment ID: I20040927000192 |
Provider Name | Emily L.b. Landrum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639550783 PECOS PAC ID: 5496033664 Enrollment ID: I20180611000322 |
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