Warrington Clinic, P.a.
NPI #1164573176 in Marks, Mississippi
Provider Information
- NPI Number
- 1164573176
- Entity Type
- Organization
- Organization Name
- Warrington Clinic, P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Aug 1, 2011
Practice Location
- Address
- 1022 MARTIN LUTHER KING DRIVE
- Address 2
- POB 289
- City
- Marks
- State
- Mississippi
- ZIP Code
- 38646
- Phone
- (662) 326-3500
Authorized Official
- Name
- DR. RICHARD EDWIN WALLER, M.D.
- Title
- VICE PRESIDENT
- Phone
- (662) 326-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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