NETTLETON FAMILY MEDICAL CLINIC INC. NPI 1003005125

NPI Information

NETTLETON FAMILY MEDICAL CLINIC, INC. is a primary care clinic center in Nettleton, MS. NETTLETON FAMILY MEDICAL CLINIC, INC. NPI is 1003005125. The provider is registered as an organization entity type.

The provider's business location address is:

1495 MAPLE RD
NETTLETON, MS
ZIP 38858-026
Phone: (662) 963-9146
Fax: (662) 963-9186

The provider's authorized official is Andrew Curry Justice .
The authorized official title is Owner and has the following contact phone number (662) 963-9146.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 11/13/2012.

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:

Other Identifiers

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

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