Webb Family Medical Clinic Pllc | |
1200 Central St Water Valley MS 38965-1904 | |
(662) 714-4460 | |
(662) 714-4480 |
Full Name | Webb Family Medical Clinic Pllc |
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Speciality | Family Medicine |
Location | 1200 Central St, Water Valley, Mississippi |
Authorized Official Name and Position | Edward Nerren (CEO) |
Authorized Official Contact | 6627144460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Webb Family Medical Clinic Pllc 1200 Central St Water Valley MS 38965-1904 Ph: (662) 714-4460 | Webb Family Medical Clinic Pllc 1200 Central St Water Valley MS 38965-1904 Ph: (662) 714-4460 |
NPI Number | 1588201495 |
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Provider Enumeration Date | 12/10/2019 |
Last Update Date | 09/02/2021 |
Medicare PECOS PAC ID | 8022442128 |
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Medicare Enrollment ID | O20191226000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588201495 | NPI | - | NPPES |
17582 | Other | MS | MISSISSIPPI STATE BOARD OF MEDICAL LICENSURE |
1548357981 | Other | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kimberly L Webb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548357981 PECOS PAC ID: 5294710729 Enrollment ID: I20040621000276 |
Provider Name | Brantley W Catlette |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194178475 PECOS PAC ID: 0244518389 Enrollment ID: I20161025001886 |
Provider Name | Victoria Jo Sturdivant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861934184 PECOS PAC ID: 3072898824 Enrollment ID: I20170320000344 |
Provider Name | Cassie L. Austin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316429434 PECOS PAC ID: 4688926553 Enrollment ID: I20181004002065 |
Provider Name | Cody E Field |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013489756 PECOS PAC ID: 8224376009 Enrollment ID: I20190221000743 |
Provider Name | Lindsey Burney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619583143 PECOS PAC ID: 7719307693 Enrollment ID: I20201014001969 |
Provider Name | Sarah Catherine Morrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972118701 PECOS PAC ID: 1254751787 Enrollment ID: I20201021001909 |
Provider Name | Laura Nicole Kelleway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710522198 PECOS PAC ID: 9638583487 Enrollment ID: I20210205002470 |
Provider Name | Audrey Kathryn Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053088922 PECOS PAC ID: 9133517733 Enrollment ID: I20211101003152 |
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