FAMILY MEDICAL CLINIC OF NORTH MS INC NPI 1134174154

NPI Information

FAMILY MEDICAL CLINIC OF NORTH MS INC is a family medicine in Southaven, 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 MEDICAL CLINIC OF NORTH MS INC NPI is 1134174154. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3451 GOODMAN RD
STE 115
SOUTHAVEN, MS
ZIP 38672-304
Phone: (662) 890-5555
Fax: (662) 890-8899

The provider's authorized official is Robert L Skinner .
The authorized official title is Vice President and has the following contact phone number (662) 850-5555.

The CLIA number assigned to this NPI record is 25D1006389 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 2/6/2008.

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

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