Rkm Primary
NPI #1245364876 in Gloster, Mississippi
Provider Information
- NPI Number
- 1245364876
- Entity Type
- Organization
- Organization Name
- Rkm Primary
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6002 HANCOCK RD
- City
- Gloster
- State
- Mississippi
- ZIP Code
- 39638-6133
- Phone
- (601) 225-7206
Authorized Official
- Name
- MR. BRYAN MICHAEL BAKER
- Title
- RN
- Phone
- (225) 683-5292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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