Williams Medical Clinic Of Potts Camp | |
39 South Center Street Potts Camp MS 38659 | |
(662) 333-6933 | |
(662) 333-6931 |
Full Name | Williams Medical Clinic Of Potts Camp |
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Speciality | Clinic/center - Rural Health |
Location | 39 South Center Street, Potts Camp, Mississippi |
Authorized Official Name and Position | Kenneth Williams (OWNER) |
Authorized Official Contact | 6622521599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Williams Medical Clinic Of Potts Camp 39 Center Street Potts Camp MS 38659 Ph: (662) 333-6933 | Williams Medical Clinic Of Potts Camp 39 South Center Street Potts Camp MS 38659 Ph: (662) 333-6933 |
NPI Number | 1851446033 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 03/30/2016 |
Identifier | Type | State | Issuer |
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1851446033 | NPI | - | NPPES |
09013973 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |