Forest Family Practice Clinic PA
NPI #1235119181 in Forest, Mississippi
Provider Information
- NPI Number
- 1235119181
- Entity Type
- Organization
- Organization Name
- Forest Family Practice Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 18, 2006
- Last Updated
- Oct 22, 2008
Practice Location
- Address
- 1 MEDICAL LN
- City
- Forest
- State
- Mississippi
- ZIP Code
- 39074-4039
- Phone
- (601) 469-4861
Authorized Official
- Name
- JOHN PAUL LEE, M.D.
- Title
- PRESIDENT
- Phone
- (601) 469-4861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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