Yazoo City Medical Clinic Pa | |
805 E Fifteenth St Yazoo City MS 39194-7607 | |
(662) 746-6083 | |
(662) 746-1954 |
Full Name | Yazoo City Medical Clinic Pa |
---|---|
Speciality | Family Medicine |
Location | 805 E Fifteenth St, Yazoo City, Mississippi |
Authorized Official Name and Position | William P Thompson (PRESIDENT) |
Authorized Official Contact | 6627466083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yazoo City Medical Clinic Pa Po Box 1509 Yazoo City MS 39194-1509 Ph: (662) 746-6083 | Yazoo City Medical Clinic Pa 805 E Fifteenth St Yazoo City MS 39194-7607 Ph: (662) 746-6083 |
NPI Number | 1174696330 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 03/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174696330 | NPI | - | NPPES |
09012127 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 05855 (Mississippi) | Primary |
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