GRACE & MERCY FAMILY MEDICAL CLINIC PLLC NPI 1629267653

NPI Information

GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC is a family medicine in Jackson, 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. GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC NPI is 1629267653. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2106 RAYMOND RD
SUITE A
JACKSON, MS
ZIP 39212-300
Phone: (601) 373-1055
Fax: (601) 373-1774

The provider's authorized official is Rhonda M. Odom-funches .
The authorized official title is Owner and has the following contact phone number (601) 373-1055.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 12/10/2012.

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:

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