| |
328 High St West Point MS 39773-2815 | |
(662) 854-0694 | |
(662) 854-0915 |
Full Name | |
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Speciality | Family Medicine |
Location | 328 High St, West Point, Mississippi |
Authorized Official Name and Position | Joseph Reppert (EXECUTIVE VP) |
Authorized Official Contact | 6623773000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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328 High St West Point MS 39773-2815 Ph: (662) 854-0694 | 328 High St West Point MS 39773-2815 Ph: (662) 854-0694 |
NPI Number | 1437504719 |
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Provider Enumeration Date | 04/25/2016 |
Last Update Date | 04/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437504719 | NPI | - | NPPES |
182782 | Other | AL | ALABAMA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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