BAPTIST MEDICAL CLINIC - CONVENIENT CARE NPI 1013207091

NPI Information

BAPTIST MEDICAL CLINIC - CONVENIENT CARE is a multi-specialty clinic center in Flowood, MS. BAPTIST MEDICAL CLINIC - CONVENIENT CARE NPI is 1013207091. The provider is registered as an organization entity type.

The provider's business location address is:

5341 LAKELAND DR
FLOWOOD, MS
ZIP 39232-173
Phone: (601) 919-2173
Fax: (601) 919-9723

The provider's authorized official is Terri E Parker .
The authorized official title is Medical Clinic Office Coordinator and has the following contact phone number (601) 292-4261.

The CLIA number assigned to this NPI record is 25D2288346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2011 and was last updated on 4/12/2011.

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:

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