The Medical Clinic | |
6953 Oak Forest Dr Olive Branch MS 38654-1920 | |
(662) 893-0450 | |
(662) 893-0460 |
Full Name | The Medical Clinic |
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Speciality | Clinic/Center |
Location | 6953 Oak Forest Dr, Olive Branch, Mississippi |
Authorized Official Name and Position | Helen Gbemudu (ADMINISTRATOR) |
Authorized Official Contact | 6628930450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Medical Clinic 6953 Oak Forest Dr Olive Branch MS 38654-1920 Ph: (662) 893-0450 | The Medical Clinic 6953 Oak Forest Dr Olive Branch MS 38654-1920 Ph: (662) 893-0450 |
NPI Number | 1093835209 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 10/22/2021 |
Medicare PECOS PAC ID | 1658761036 |
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Medicare Enrollment ID | O20211129000189 |
Identifier | Type | State | Issuer |
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1093835209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Roselyn Delaney Magitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710309877 PECOS PAC ID: 0345471652 Enrollment ID: I20150901000356 |
Provider Name | Shawna L Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861942682 PECOS PAC ID: 8729368329 Enrollment ID: I20211129000226 |
Desoto Family Medical Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7163 Goodman Rd, Olive Branch, MS 38654 Phone: 662-895-3700 Fax: 662-895-4886 | |
Mcclatchy Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7235 Hacks Cross Rd, Olive Branch, MS 38654 Phone: 662-893-7878 | |
Desoto Primary Care Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6942 Autumn Oaks Dr, Olive Branch, MS 38654 Phone: 901-517-9171 | |
Olive Branch Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Midsouth Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8150 Lake View Dr, Olive Branch, MS 38654 Phone: 901-246-6955 | |
Specialty Care Extended Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5600 Goodman Rd, Suite D, Olive Branch, MS 38654 Phone: 901-634-8641 Fax: 662-420-7147 |