Fcc Medical Clinics LLC
NPI #1215510490 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1215510490
- Entity Type
- Organization
- Organization Name
- Fcc Medical Clinics LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FAMILY COUNSELING CENTER, INC.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 4, 2021
- Last Updated
- Jul 12, 2021
Practice Location
- Address
- 3001 WARRIOR LN
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8685
- Phone
- (573) 686-1200
Authorized Official
- Name
- TRACY ELLIS
- Title
- CCO
- Phone
- (573) 888-5925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Internal Medicine |
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