Faith Family Clinic, Llc | |
2209 N 2nd St Booneville MS 38829-7734 | |
(662) 728-0162 | |
Not Available |
Full Name | Faith Family Clinic, Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2209 N 2nd St, Booneville, Mississippi |
Authorized Official Name and Position | Kelly Bernice Thornton (FAMILY NURSE PRACTITIONER/CO-OWNER) |
Authorized Official Contact | 6624150270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Faith Family Clinic, Llc 2209 N 2nd St Booneville MS 38829-7734 Ph: (662) 728-0162 | Faith Family Clinic, Llc 2209 N 2nd St Booneville MS 38829-7734 Ph: (662) 728-0162 |
NPI Number | 1831288281 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 10/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831288281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Faith Family Clinic Of Booneville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2209 N 2nd St, Booneville, MS 38829 Phone: 662-728-0162 Fax: 662-728-0326 | |
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