| The Marion County Internal Medicine Clinic | |
|
912 Sumrall Rd Columbia MS 39429-2652 | |
| (601) 736-6443 | |
| (601) 736-2543 |
| Full Name | The Marion County Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 912 Sumrall Rd, Columbia, Mississippi |
| Authorized Official Name and Position | Kevin H Holmes (PHYSICIAN) |
| Authorized Official Contact | 6017366443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Marion County Internal Medicine Clinic 912 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-6443 | The Marion County Internal Medicine Clinic 912 Sumrall Rd Columbia MS 39429-2652 Ph: (601) 736-6443 |
| NPI Number | 1346369519 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 1153330618 |
|---|---|
| Medicare Enrollment ID | O20060411000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346369519 | NPI | - | NPPES |
| 09015343 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin H Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942297858 PECOS PAC ID: 0244248094 Enrollment ID: I20060411000265 |
| Provider Name | Candice Brooke Shows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740754027 PECOS PAC ID: 0941532089 Enrollment ID: I20191023000597 |
| Provider Name | Brenda K Thornhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417944331 PECOS PAC ID: 5092902536 Enrollment ID: I20210310001944 |
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