| Tutwiler Clinic Inc | |
|
205 Alma St Tutwiler MS 38963-0462 | |
| (662) 345-8334 | |
| (662) 345-8336 |
| Full Name | Tutwiler Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 Alma St, Tutwiler, Mississippi |
| Authorized Official Name and Position | Anne E Brooks (MEDICAL DIRECTOR TUTWILER CLINIC IN) |
| Authorized Official Contact | 6623458334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tutwiler Clinic Inc 205 Alma St Po Box 462 Tutwiler MS 38963 Ph: (662) 345-8334 | Tutwiler Clinic Inc 205 Alma St Tutwiler MS 38963-0462 Ph: (662) 345-8334 |
| NPI Number | 1811008261 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811008261 | NPI | - | NPPES |
| 09014072 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10092 (Mississippi) | Primary |
Tutwiler Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Alma St, Tutwiler, MS 38963 Phone: 662-345-8334 |