Highway 15 Medical Clinic Pa | |
124 Highway 15 S New Albany MS 38652-5225 | |
(662) 534-4706 | |
(662) 534-8065 |
Full Name | Highway 15 Medical Clinic Pa |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 124 Highway 15 S, New Albany, Mississippi |
Authorized Official Name and Position | James Lee Thornton (PRESIDENT) |
Authorized Official Contact | 6625344706 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Highway 15 Medical Clinic Pa 124 Highway 15 S New Albany MS 38652-5225 Ph: (662) 534-4706 | Highway 15 Medical Clinic Pa 124 Highway 15 S New Albany MS 38652-5225 Ph: (662) 534-4706 |
NPI Number | 1417949058 |
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Provider Enumeration Date | 08/19/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417949058 | NPI | - | NPPES |
09016044 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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› Verified 3 days ago
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