| Total Healthcare Clinic Llc | |
|
2964 Terry Rd Ste B1 Jackson MS 39212-3070 | |
| (601) 321-9453 | |
| (601) 398-4699 |
| Full Name | Total Healthcare Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2964 Terry Rd Ste B1, Jackson, Mississippi |
| Authorized Official Name and Position | Marsha Lynn Austin (FNP) |
| Authorized Official Contact | 6013219453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Healthcare Clinic Llc 2964 Terry Rd Ste B-1 Jackson MS 39212-3070 Ph: (601) 321-9453 | Total Healthcare Clinic Llc 2964 Terry Rd Ste B1 Jackson MS 39212-3070 Ph: (601) 321-9453 |
| NPI Number | 1598306920 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 7810324613 |
|---|---|
| Medicare Enrollment ID | O20200217000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598306920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marsha K Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851622120 PECOS PAC ID: 9133252620 Enrollment ID: I20100804000729 |
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