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FAMILY MEDICINE ASSOCIATES PA NPI 1033433628


NPI Information

NPI: 1033433628
Provider Name: FAMILY MEDICINE ASSOCIATES, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667
Phone: (601) 876-5835
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FAMILY MEDICINE ASSOCIATES, PA is a family medicine in Tylertown, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE ASSOCIATES, PA NPI is 1033433628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667-020
Phone: (601) 876-5835
Fax: (601) 876-5295

The provider's authorized official is Julius Keith Speed .
The authorized official title is President and has the following contact phone number (601) 876-5835.

The enumeration date for this NPI number is 3/25/2010 and was last updated on 3/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine11133MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10114413MEDICAIDMISSISSIPPI
2B65965MEDICARE UPINMISSISSIPPI
3080000271MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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