PRIMARY CARE CLINIC OF RIPLEY PA NPI 1356312623

NPI Information

PRIMARY CARE CLINIC OF RIPLEY PA is a family medicine in Ripley, 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. PRIMARY CARE CLINIC OF RIPLEY PA NPI is 1356312623. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1009 CITY AVE N
RIPLEY, MS
ZIP 38663-414
Phone: (662) 837-1404
Fax: (662) 837-1407

The provider's authorized official is Troy Reuben Cappleman .
The authorized official title is Ao and has the following contact phone number (662) 837-1404.

The CLIA number assigned to this NPI record is 25D1009442 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/5/2023.

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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