Mallory Community Health

NPI #1104348606 in Lexington, Mississippi

Provider Information

NPI Number
1104348606
Entity Type
Organization
Organization Name
Mallory Community Health
Subpart
Yes (part of a larger organization)
Parent Organization
MALLORY COMMUNITY HEALTH
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jul 17, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
9479 BROZVILLE RD
ZIP Code
39095-7090
Phone
(662) 834-0532

Authorized Official

Name
DR. CLYDE ROZELL CHAPMAN, MD
Title
CEO
Phone
(662) 834-0532

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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