West Union Family Clinic | |
1561 St Hwy 30 W New Albany MS 38652 | |
(662) 333-6387 | |
(663) 333-9339 |
Full Name | West Union Family Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 1561 St Hwy 30 W, New Albany, Mississippi |
Authorized Official Name and Position | Denise Gossett (NURSE PRACTIONER) |
Authorized Official Contact | 6623336387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Union Family Clinic Po Box 5 Hickory Flat MS 38633-0005 Ph: (662) 333-6387 | West Union Family Clinic 1561 St Hwy 30 W New Albany MS 38652 Ph: (662) 333-6387 |
NPI Number | 1558670802 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 10/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558670802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | R687235 (Mississippi) | Primary |
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