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400 Lamar Ave Kilmichael MS 39747-9780 | |
(662) 283-4114 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 400 Lamar Ave, Kilmichael, Mississippi |
Authorized Official Name and Position | Cori H Bailey (ADMINISTRATOR) |
Authorized Official Contact | 6622834114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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409 Tyler Holmes Dr Winona MS 38967-1521 Ph: (662) 283-4114 | 400 Lamar Ave Kilmichael MS 39747-9780 Ph: (662) 283-4114 |
NPI Number | 1346084985 |
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Provider Enumeration Date | 06/19/2024 |
Last Update Date | 07/01/2024 |
Identifier | Type | State | Issuer |
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1346084985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |