Gilmore Primary Care
NPI #1306069612 in Amory, Mississippi
Provider Information
- NPI Number
- 1306069612
- Entity Type
- Organization
- Organization Name
- Gilmore Primary Care
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 900 EARL FRYE BLVD STE C
- City
- Amory
- State
- Mississippi
- ZIP Code
- 38821-5507
- Phone
- (662) 256-6227
Authorized Official
- Name
- CHRIS DEDEAUX
- Title
- CLINIC ADMINISTRATOR
- Phone
- (662) 256-7112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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