Family Medical Clinic of North Ms INC
NPI #1134174154 in Southaven, Mississippi
Provider Information
- NPI Number
- 1134174154
- Entity Type
- Organization
- Organization Name
- Family Medical Clinic of North Ms INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 24, 2006
- Last Updated
- Feb 6, 2008
Practice Location
- Address
- 3451 GOODMAN RD
- Address 2
- STE 115
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-9304
- Phone
- (662) 890-5555
Authorized Official
- Name
- ROBERT L SKINNER, DO
- Title
- VICE PRESIDENT
- Phone
- (662) 850-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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