Silver Medical Associates, Llc | |
814 S Haugh Ave Box 1675 Picayune MS 39466-5350 | |
(769) 242-2020 | |
(769) 242-2023 |
Full Name | Silver Medical Associates, Llc |
---|---|
Speciality | Clinic/center |
Location | 814 S Haugh Ave, Picayune, Mississippi |
Authorized Official Name and Position | Kim Antoinette Mitchell-silver (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 7692422020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Silver Medical Associates, Llc 814 S Haugh Ave Picayune MS 39466-5350 Ph: (769) 242-2020 | Silver Medical Associates, Llc 814 S Haugh Ave Box 1675 Picayune MS 39466-5350 Ph: (769) 242-2020 |
NPI Number | 1396291944 |
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Provider Enumeration Date | 09/01/2016 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396291944 | NPI | - | NPPES |
02274570 | Medicaid | MS | |
00606725 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1095115 (Mississippi) | Primary |
News Archive
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