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1031 Northridge Rd Baldwyn MS 38824-1173 | |
(662) 365-9305 | |
(662) 365-9304 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1031 Northridge Rd, Baldwyn, Mississippi |
Authorized Official Name and Position | Thomas O Turner (OFFICE MANAGER) |
Authorized Official Contact | 6623659305 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1031-b Northridge Rd Baldwyn MS 38824-1173 Ph: (662) 365-9305 | 1031 Northridge Rd Baldwyn MS 38824-1173 Ph: (662) 365-9305 |
NPI Number | 1811336332 |
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Provider Enumeration Date | 06/18/2013 |
Last Update Date | 10/01/2013 |
Identifier | Type | State | Issuer |
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1811336332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Waters Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Mill St, Baldwyn, MS 38824 Phone: 662-365-3253 Fax: 662-365-3484 | |