SARDIS FAMILY MEDICAL CLINIC INC NPI 1992256499

NPI Information

SARDIS FAMILY MEDICAL CLINIC, INC is a primary care clinic center in Sardis, MS. SARDIS FAMILY MEDICAL CLINIC, INC NPI is 1992256499. The provider is registered as an organization entity type.

The provider's business location address is:

124 S MAIN ST
SARDIS, MS
ZIP 38666-721
Phone: (662) 487-1064

The provider's authorized official is Lori Crain .
The authorized official title is Office Manager and has the following contact phone number (662) 487-1064.

The CLIA number assigned to this NPI record is 25D1066676 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.

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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