| Ridgeland Family Medical Ctr | |
|
305 Highway 51 Ridgeland MS 39157-3428 | |
| (601) 856-9980 | |
| (601) 856-9994 |
| Full Name | Ridgeland Family Medical Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 305 Highway 51, Ridgeland, Mississippi |
| Authorized Official Name and Position | Carolyn Durr (OFFICE MANAGER) |
| Authorized Official Contact | 6018569980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeland Family Medical Ctr 305 Highway 51 Ridgeland MS 39157-3428 Ph: (601) 856-9980 | Ridgeland Family Medical Ctr 305 Highway 51 Ridgeland MS 39157-3428 Ph: (601) 856-9980 |
| NPI Number | 1285818005 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285818005 | NPI | - | NPPES |
| CB6301 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10806 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 12039 (Mississippi) | Primary |
| 261Q00000X | Clinic/center | 12039 (Mississippi) | Secondary |
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