Mallory Community Health

NPI #1295282358 in Lexington, Mississippi

Provider Information

NPI Number
1295282358
Entity Type
Organization
Organization Name
Mallory Community Health
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Sep 7, 2016
Last Updated
Sep 7, 2016

Practice Location

Address
9749 BROZVILLE ROAD
ZIP Code
39095
Phone
(662) 834-2172

Authorized Official

Name
MR. CLYDE ROZELL CHAPMAN, MD
Title
CHIEF EXECUTIVE OFFICER
Phone
(662) 834-2566

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Mallory Community Health

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